Organization
WELLCARE MEDICAL, LLC
Active
Organization
WELLCARE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE COLLINS M.D. (PRESIDENT)
(765) 289-1011
Entity
Organization
Contact information
Practice address
1910 W ROYALE DR, MUNCIE, IN 47304-2264
(765) 289-1011
(765) 289-3024
Mailing address
1910 W ROYALE DR, MUNCIE, IN 47304-2264
(765) 289-1011
(765) 289-3024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010713125A
IN
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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