Individual
JOHN WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 E ELM ST, CARSON CITY, MI 48811-9693
(989) 584-3131
Mailing address
406 E ELM ST, CARSON CITY, MI 48811-9693
(989) 584-3131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033323
MI
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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