MEDICARE: MICHAEL B WELLS DO PLC

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

General Provider Information

NPI Number	:	1871531285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL B WELLS DO PLC

Provider Business Mailing Address
First Line	:	1430 N CENTER RD
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48638-5581
Country	:	US
Telephone Number	:	989-249-6960
Fax Number	:	989-249-6965

Provider Business Practice Location Address
First Line	:	1430 N CENTER RD
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48638-5581
Country	:	US
Telephone Number	:	989-249-6960
Fax Number	:	989-249-6965

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL WELLS
Credential	:	D.O.
Telephone Number	:	989-249-6960

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	08/22/2020

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