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Individual

DANA M WELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1595 SOQUEL DR, STE 220, SANTA CRUZ, CA 95065-1719
(831) 476-4200
(831) 476-5052
Mailing address
1595 SOQUEL DR, STE 220, SANTA CRUZ, CA 95065-1719
(831) 476-4200
(831) 476-5052

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A7123
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX71230
CA
01
20A7123
STATE LICENSE
CA
Enumeration date
01/17/2007
Last updated
03/07/2023
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