Gerald M Welch MD

NPI 1053414367 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1053414367
Gender Male
Enumeration Date 09/06/2006
Last Updated 05/16/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1813 W. KIRBY AVENUE
PSYCHIATRY/PSYCHOLOGY
CHAMPAIGN IL, 61821, US
Phone (217) 383-1850
Fax (217) 383-3439
Business Location
611 W. PARK ST.
BWPC
URBANA IL, 61801-2500, US
Phone (217) 383-6792
Fax (217) 383-4752
Toxanomy
Taxonomy Code 2084P0800X
License State Illinois
License Number 036088966
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According to our database, Gerald M Welch MD NPI is 1053414367, taxonomy code is 2084P0800X and license number is 036088966, license state is located at Illinois. Gerald M Welch MD physically located at 1813 W. Kirby Avenue, Champaign IL, 61821. NPI Number Gerald M Welch MD has the Individual type.

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1053414367 NPI number is provided on an as is basis without warranty of any kind. 1053414367 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald M Welch MD are for informational purposes only.