Individual
DR. NICHOLAS C WELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391-7385
(253) 750-6000
(253) 750-6100
Mailing address
9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391-7385
(253) 750-6000
(253) 750-6100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD61505880
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD188298
OR
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD61505880
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104658
—
WA
Enumeration date
05/26/2015
Last updated
08/15/2024
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