MEDICARE: DR. ROBERT WELCH MD

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	207VM0101X	Maternal & Fetal Medicine Physician	4301043933	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578567053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT WELCH MD

Provider Business Mailing Address
First Line	:	1560 E MAPLE ROAD
Second Line	:	SUITE 400-CREDENTIALING DEPARTMENT
City	:	TROY
State	:	MI
Zip	:	48083-1189
Country	:	US
Telephone Number	:	313-745-7641
Fax Number	:	313-993-4444

Provider Business Practice Location Address
First Line	:	1 HURLEY PLZ
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48503-5902
Country	:	US
Telephone Number	:	810-262-9751
Fax Number	:	810-262-9659

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	12/20/2018

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