Individual
MICHAELA PUNO WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3855 COOPER ST, CHARLES EGELER RECEPTION & GUIDANCE CENTER, JACKSON, MI 49201-7547
(517) 780-5741
Mailing address
2742 BLACKMAN RD, JACKSON, MI 49201-9016
(517) 795-1671
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301075152
MI
Other
Enumeration date
09/26/2007
Last updated
12/02/2015
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