Individual
GREGORY J WELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-25392
KS
Other
Enumeration date
08/23/2005
Last updated
01/09/2017
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