Individual
MATTHEW WELSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7930 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(317) 621-6725
(317) 621-4545
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01066309A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01066309A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000623916
ANTHEM PROVIDER NUMBER
IN
05
—
200947780
—
IN
05
—
32554
—
SC
01
—
P01512455
RR MEDICARE
IN
Enumeration date
06/03/2008
Last updated
08/22/2023
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