Individual
ANTHONY JOSEPH WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1540 LAKE LANSING RD, SUITE G02, LANSING, MI 48912-3756
(517) 913-6650
(517) 913-6677
Mailing address
1540 LAKE LANSING RD, SUITE G02, LANSING, MI 48912-3756
(517) 913-6650
(517) 913-6677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0653303520
BLUE CROSS BLUE SHIELD
MI
01
—
0N61290015
MEDICARE PLUS BLUE/MEDICARE ADVANTAGE
MI
01
—
1058901
MCLAREN HEALTH PLAN-MEDICAID
MI
01
—
9073520
AETNA
MI
01
—
P00833807
RAILROAD MEDICARE
MI
Enumeration date
02/25/2010
Last updated
07/21/2014
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