Individual
HEATHER MARIE WELLS-HOLTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2350 N. LAKE DRIVE, SUITE 300, MILWAUKEE, WI 53211-4528
(414) 298-7100
(414) 298-7101
Mailing address
788 N JEFFERSON ST, SUITE 300 /ATTN KAAREN BUTZEN, MILWAUKEE, WI 53202-3718
(414) 227-8950
(414) 272-0859
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
41524
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447320403
—
WI
Enumeration date
11/08/2006
Last updated
03/01/2017
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