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Individual

MICHAEL B WELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 993-9551
(801) 733-5872
Mailing address
3233 REGAN CT, SALT LAKE CITY, UT 84121-3592
(801) 947-5782

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
323695-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107008752102
IHC
UT
01
2000040
UNITED HEALTHCARE
UT
01
2099
2099
UT
01
293656
DESERET MUTUAL
UT
05
401765
MT
05
476350
AZ
01
59246
PEHP
UT
01
870280408WE1
EDUCATORS MUTUAL
UT
01
PRA02017
MOLINA
UT
01
QM0000041805
ALTIUS
UT
Enumeration date
08/30/2006
Last updated
07/08/2007
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