Individual
RENAE ELIZABETH WELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
240 MINNESOTA ST, RAPID CITY, SD 57701-6200
(605) 719-9499
(605) 719-9509
Mailing address
240 MINNESOTA ST, RAPID CITY, SD 57701-6200
(605) 719-9499
(605) 719-9509
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
683
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026801800
—
NE
01
—
1487935730
BLUE CROSS BLUE SHIELD
SD
05
—
154811500
—
WY
05
—
2004371
—
SD
Enumeration date
08/31/2011
Last updated
04/05/2022
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