Individual
DR. CORRINE KOLKA WELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-7763
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9105746-1205
UT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9105746-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077337
TUFTS HEALTH PLAN
MA
05
—
3172121
—
MA
01
—
J18150
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
12/17/2021
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