Individual
WILBUR GLEN WELLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
8827
AL
208800000X
Urology Physician
8827
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0366100001
CIGNA GOVERNMENT SERVICES PTAN
AL
05
—
153689
—
AL
05
—
153913
—
AL
01
—
511-41459
BLUE CROSS AND BLUE SHIELD OF ALABAMA
AL
01
—
511-41460
BLUE CROSS AND BLUE SHIELD OF ALABAMA
AL
Enumeration date
04/24/2006
Last updated
01/24/2020
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