Individual
DR. BRIAN LEE WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
915 W GREEN ST STE 101, HASTINGS, MI 49058-1724
(269) 945-3866
(269) 945-9388
Mailing address
915 W GREEN ST STE 101, HASTINGS, MI 49058-1724
(269) 945-3866
(269) 945-9388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004465
MI
Other
Enumeration date
01/22/2008
Last updated
04/21/2022
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