Individual
MICHAEL WELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2040 SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46219-1734
(317) 355-1800
(317) 355-1803
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01039687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000094392
ANTHEM PIN
IN
05
—
200003850A
—
IN
Enumeration date
02/01/2006
Last updated
11/27/2023
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