Individual
DR. LUKE ROBERT WELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
(541) 526-6608
Mailing address
MSC 11-6025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2020-0840
NM
207P00000X
Emergency Medicine Physician
RS2018-0322
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
02/27/2017
Last updated
08/01/2022
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