Individual
MR. MICHAEL SEAN WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
1870 QUAKER WAY, WILMINGTON COLLEGE, WILMINGTON, OH 45177
(937) 382-6661
(937) 383-8527
Mailing address
505 WALRAVEN AVE, WILMINGTON, OH 45177
(937) 383-7051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001164
OH
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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