Individual
COREY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
74074
MN
390200000X
Student in an Organized Health Care Education/Training Program
MT213318
PA
Other
Enumeration date
05/31/2017
Last updated
09/29/2023
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