Individual
MICHAEL C WELLEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6100 E CENTRAL AVE, WICHITA, KS 67208-4244
(316) 737-0282
Mailing address
330 N LARK LN, WICHITA, KS 67212-5492
(316) 722-2758
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54376
KS
Other
Enumeration date
05/30/2006
Last updated
05/25/2011
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