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NPI Code Detail

MEDICARE: WILLIAM M WELCH

MEDICARE: WILLIAM M 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
1367500000XCertified Registered Nurse AnesthetistR33686ND
2367500000XCertified Registered Nurse AnesthetistR 167887-1MN
3367500000XCertified Registered Nurse AnesthetistL6-0A10903DE

General Provider Information

NPI Number : 1245415157
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM M WELCH
Provider Business Mailing Address
First Line : 515 S MOORE ST
Second Line :
City : BLUE EARTH
State : MN
Zip : 56013-2158
Country : US
Telephone Number : 507-526-3273
Fax Number :
Provider Business Practice Location Address
First Line : 515 S MOORE ST
Second Line :
City : BLUE EARTH
State : MN
Zip : 56013-2158
Country : US
Telephone Number : 507-526-3273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2008
Last Update Date : 10/11/2022

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