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Individual

DR. WILLIAM J WELDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
315 11TH ST N, SUITE A, WAHPETON, ND 58075-4101
(701) 642-4090
(701) 642-9424
Mailing address
315 11TH ST N, SUITE A, WAHPETON, ND 58075-4101
(701) 642-4090
(701) 642-9424

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ND0534
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2202014
MEDICA
MN
01
25386
BCBS ND
ND
01
4C633WE
BCBS
MN
01
545318600
MINNESOTA MEDICAL ASSISTANCE
MN
05
545318600
MN
05
60480
ND
01
624891032463
PREFERRED ONE
ND
01
P002074083
RAILROAD MEDICARE
ND
Enumeration date
07/19/2006
Last updated
06/16/2008
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