Individual
DR. RYAN MICHAEL WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., M.D.
Contact information
Practice address
1618 S MILLENIUM WAY STE 100, MERIDIAN, ID 83642-6457
(208) 884-3376
(208) 884-0858
Mailing address
1618 S MILLENIUM WAY STE 100, MERIDIAN, ID 83642-6457
(208) 884-3376
(208) 884-0858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15081
AL
207N00000X
Dermatology Physician
Primary
M-16045
ID
207R00000X
Internal Medicine Physician
M-16045
ID
Other
Enumeration date
08/08/2006
Last updated
06/04/2025
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