Individual
CLIFFORD WELDON
Active
Individual
CLIFFORD WELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301054557
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166726
TOTAL HEALTHCARE
MI
01
—
0500966
BCBSM
MI
05
—
1528194545
—
MI
01
—
21606
OMNICARE
MI
01
—
7001298
CHAMPS
MI
01
—
CW054557
LICENSE
MI
01
—
M-006492
TRICARE
MI
01
—
P87524
BCN
—
01
—
QMXPR0020661
MOLINA
MI
Enumeration date
02/26/2007
Last updated
07/28/2021
Update your record
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