Individual
JOEL GRANT WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3004 GOLF RD, EAU CLAIRE, WI 54701-8793
(715) 514-2827
Mailing address
3004 GOLF RD, EAU CLAIRE, WI 54701-8793
(715) 514-2827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103593875
WI
363A00000X
Physician Assistant
Primary
14622
MN
Other
Enumeration date
09/23/2021
Last updated
03/06/2026
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