MEDICARE: KRISTINA LINNEA WELTON 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	207X00000X	Orthopaedic Surgery Physician	4301098201	MI

General Provider Information

NPI Number	:	1093008971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA LINNEA WELTON MD

Provider Business Mailing Address
First Line	:	1500 E MEDICAL CENTER DR SPC 5328
Second Line	:	TC 2912
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-5328
Country	:	US
Telephone Number	:	734-232-6343
Fax Number	:	734-647-3125

Provider Business Practice Location Address
First Line	:	1500 E MEDICAL CENTER DR SPC 5328
Second Line	:	TC 2912
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-5328
Country	:	US
Telephone Number	:	734-232-6343
Fax Number	:	734-647-3125

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

Provider Enumeration Date	:	05/25/2011
Last Update Date	:	05/25/2011

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