Individual
GARY N WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
301 116TH AVE SE STE 105, SUITE #250, BELLEVUE, WA 98004-6482
(425) 454-1919
(425) 454-7018
Mailing address
PO BOX 125, LAKE STEVENS, WA 98258-0125
(425) 344-7250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10001347
WA
Other
Enumeration date
01/26/2007
Last updated
12/31/2013
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