Individual
MICHAEL JAY WELVAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029
(207) 564-8401
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LT18022
ME
Other
Enumeration date
04/14/2015
Last updated
10/23/2018
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