Individual
NORBERT MICHAEL WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904
(765) 448-8000
(765) 448-7619
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01027189A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183645
ANTHEM PROVIDER NUMBER
IN
05
—
100138830
—
IN
01
—
10826166
CAQH NUMBER
IN
01
—
9017010
PHCS PID NUMBER
IN
Enumeration date
03/21/2006
Last updated
03/01/2021
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