Individual
DR. MICHAEL JASON WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4003 KRESGE WAY STE 410, LOUISVILLE, KY 40207-4652
(502) 893-7462
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4900
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46561
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100263700
—
KY
Enumeration date
05/16/2011
Last updated
12/22/2020
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