Individual
DANIEL WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1440 E HARBOUR TOWNE CIR, MUSKEGON, MI 49441-6401
(231) 755-3936
Mailing address
1440 E HARBOUR TOWNE CIR, MUSKEGON, MI 49441-6401
(231) 755-3936
(231) 215-0221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301026531
MI
Other
Enumeration date
03/03/2006
Last updated
12/28/2012
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