Individual
WELLS ISAAC MANGRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701-3016
(715) 839-9280
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
135225
NC
2085R0202X
Diagnostic Radiology Physician
Primary
55085
WI
Other
Enumeration date
04/24/2008
Last updated
02/13/2025
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