Individual
MR. MICHAEL LEE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
3475
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0003475
CO
Other
Enumeration date
07/25/2012
Last updated
04/04/2023
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