MEDICARE: MICHAEL ANDREW WELSH DO

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	207Q00000X	Family Medicine Physician	OS012089	PA

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	:	1306849435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ANDREW WELSH DO

Provider Business Mailing Address
First Line	:	687 UNIONVILLE RD
Second Line	:
City	:	KENNETT SQUARE
State	:	PA
Zip	:	19348-4717
Country	:	US
Telephone Number	:	610-444-4469
Fax Number	:

Provider Business Practice Location Address
First Line	:	687 UNIONVILLE RD
Second Line	:
City	:	KENNETT SQUARE
State	:	PA
Zip	:	19348-4717
Country	:	US
Telephone Number	:	610-444-4469
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/07/2014

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