Organization
CHAD WELLE ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD WELLE CRNA (OWNER)
(763) 350-0239
Entity
Organization
Contact information
Practice address
1013 HART BLVD, MONTICELLO, MN 55362-8575
(952) 442-9770
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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