Individual
MARCUS WELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 WEST 7TH ST., CENTRAL ARKANSAS VETERANS HEALTCARE SYSTEM, LITTLE ROCK, AR 72205
(501) 257-6585
Mailing address
126 FOUNTAIN AVE, LITTLE ROCK, AR 72205-5912
(919) 259-0359
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
MD037305
DC
282N00000X
General Acute Care Hospital
Primary
E-6668
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2007
Last updated
07/06/2012
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