Individual
DR. CRAIG G WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 112TH AVE NE, SUTIE D050, BELLEVUE, WA 98004-3752
(206) 215-3850
(206) 215-3870
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00018725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0288403
L & I FOR PROLIANCE SURGEONS, INC.
WA
05
—
7081888
—
WA
Enumeration date
07/06/2005
Last updated
02/29/2012
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