| Gerald J Wellens Phd | |
|
735 E Walnut St Green Bay WI 54301 | |
| (920) 432-8777 | |
| (920) 435-0749 |
| Full Name | Gerald J Wellens Phd |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 735 E Walnut St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Molly Rose Crevier (OFFICE ADMIN) |
| Authorized Official Contact | 9204328777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald J Wellens Phd 735 E Walnut St Green Bay WI 54301 Ph: (920) 432-8777 | Gerald J Wellens Phd 735 E Walnut St Green Bay WI 54301 Ph: (920) 432-8777 |
| NPI Number | 1770753915 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770753915 | NPI | - | NPPES |
| 42148600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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