Individual
COREY T WELCHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
717 S STATE ST, SUITE 900, FAIRMONT, MN 56031-4469
(507) 238-4949
(507) 238-3377
Mailing address
717 S STATE ST, SUITE 900, FAIRMONT, MN 56031-4469
(507) 238-4949
(507) 238-3377
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
33466
MN
213EP1101X
Primary Podiatric Medicine Podiatrist
33466
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039000300
—
MN
01
—
0902069
MEDICA
—
05
—
0960765
—
IA
01
—
112400
UCARE MN
—
01
—
21710
SANFORD HEALTH
—
01
—
278G0WE
BLUE CROSS BLUE SHIELD
MN
01
—
40648WE
BLUE CROSS BLUE SHIELD
MN
01
—
4320
AVERA
—
01
—
597013
AMERICAS PPO
—
01
—
974311000774
PREFERREDONE
—
01
—
HP20715
HEALTH PARTNERS
—
Enumeration date
01/26/2006
Last updated
08/27/2024
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