Individual
ANDREW WELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3990 JOHN R ST, SUITE 615, DETROIT, MI 48201-2018
(313) 745-4195
Mailing address
3990 JOHN R ST, SUITE 615, DETROIT, MI 48201-2018
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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