Individual
JEFFREY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036104811
IL
207Q00000X
Family Medicine Physician
2001010361
MO
Other
Enumeration date
02/08/2006
Last updated
05/16/2016
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