Individual
DR. MARK WILLIAM WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
18431 N 91ST AVE STE 1, PEORIA, AZ 85382-0817
(623) 393-8324
Mailing address
18431 N 91ST AVE STE 1, PEORIA, AZ 85382-0817
(623) 393-8324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2182
AZ
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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