Individual
DAVID MATTHEW WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3800
Mailing address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5931
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2013
Last updated
06/27/2019
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