MEDICARE: MATTHEW A WELCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WH0202X	Home Modifications Contractor	262000847	MI

General Provider Information

NPI Number	:	1447113816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW A WELCH

Provider Business Mailing Address
First Line	:	42416 MOUND RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3149
Country	:	US
Telephone Number	:	586-997-0750
Fax Number	:

Provider Business Practice Location Address
First Line	:	42416 MOUND RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3149
Country	:	US
Telephone Number	:	586-997-0750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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