Individual
PATRICIA A WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1235 INDUSTRIAL DR, SUITE 1, SALINE, MI 48176-1741
(734) 944-8000
(734) 944-8008
Mailing address
1235 INDUSTRIAL DR, SUITE 1, SALINE, MI 48176-1741
(734) 944-8000
(734) 944-8008
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
062273
MI
207R00000X
Internal Medicine Physician
4301062273
MI
208000000X
Pediatrics Physician
4301062273
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104442341
—
MI
01
—
PW062273
BLUE SHIELD
MI
Enumeration date
10/06/2006
Last updated
06/19/2008
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