MEDICARE: TAMARA M WELSH 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	207Q00000X	Family Medicine Physician	10601	MT

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
2	96426	OTHER	MT	FWC BCBS

General Provider Information

NPI Number	:	1447251392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA M WELSH MD

Provider Business Mailing Address
First Line	:	310 WENDELL AVE
Second Line	:	SUITE 103
City	:	LEWISTOWN
State	:	MT
Zip	:	59457-2267
Country	:	US
Telephone Number	:	406-535-1480
Fax Number	:	406-535-1481

Provider Business Practice Location Address
First Line	:	310 WENDELL AVE
Second Line	:	SUITE 103
City	:	LEWISTOWN
State	:	MT
Zip	:	59457-2267
Country	:	US
Telephone Number	:	406-535-1480
Fax Number	:	406-535-1481

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	10/22/2009

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