Individual
DR. BRUCE W WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 E 5TH AVE, WINFIELD, KS 67156-2407
(620) 221-2300
(620) 221-3594
Mailing address
1300 E 5TH AVE, WINFIELD, KS 67156-2407
(620) 221-2300
(620) 221-3594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0413320
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014013
BLUE SHIELD
KS
Enumeration date
04/19/2007
Last updated
07/08/2007
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