Robert (bruce) B Wellman M.D.

NPI 1104929405 - Pathology - 207ZP0102X

NPI Details
NPI 1104929405
Gender Male
Enumeration Date 09/06/2006
Last Updated 03/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
611 W. PARK ST
URBANA IL, 61801-2500, US
Phone (217) 383-3342
Fax (217) 383-4260
Business Location
611 W. PARK ST
BWPC
URBANA IL, 61801-2500, US
Phone (217) 383-6941
Fax (217) 383-4752
Toxanomy
Taxonomy Code 207ZP0102X
License State Illinois
License Number 036062748
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According to our database, Robert (bruce) B Wellman M.D. NPI is 1104929405, taxonomy code is 207ZP0102X and license number is 036062748, license state is located at Illinois. Robert (bruce) B Wellman M.D. physically located at 611 W. Park St, Urbana IL, 61801-2500. NPI Number Robert (bruce) B Wellman M.D. has the Individual type.

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1104929405 NPI number is provided on an as is basis without warranty of any kind. 1104929405 is maintained by the National Plan & Provider Enumeration System. The contents of Robert (bruce) B Wellman M.D. are for informational purposes only.