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Individual

DR. NICHOLAS ALAN WELKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
2022032220
MO
208600000X
Surgery Physician
Primary
2022032220
MO
2086S0102X
Surgical Critical Care Physician
2022032220
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200114754
MO
Enumeration date
03/20/2017
Last updated
04/17/2025
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