Healthcare Provider Details

I. General information

NPI: 1255423349
Provider Name (Legal Business Name): JOSEPH ARTHUR WELS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA MED. CTR. DEPT. OF ANES. 112-A ONE VETERAN'S DRIVE
MINNEAPOLIS MN
55417-2309
US

IV. Provider business mailing address

5728 FAIRFAX AVENUE
EDINA MN
55424-1559
US

V. Phone/Fax

Practice location:
  • Phone: 612-467-3180
  • Fax: 612-727-5961
Mailing address:
  • Phone: 952-926-3398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35241
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: