Individual
DIANE WELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2605 GENESYS PKWY, GRAND BLANC, MI 48439-8069
(810) 606-7670
(810) 606-7675
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2007
(810) 743-1099
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704147537
MI
Other
Enumeration date
08/31/2006
Last updated
09/20/2007
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