Marvin L Wells Do Pc | |
300 Rock Run Rd Friendly WV 26146 | |
(313) 563-3332 | |
(313) 563-3342 |
Full Name | Marvin L Wells Do Pc |
---|---|
Speciality | Internal Medicine |
Location | 300 Rock Run Rd, Friendly, West Virginia |
Authorized Official Name and Position | Marvin Wells (OWNER) |
Authorized Official Contact | 3135633332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marvin L Wells Do Pc 300 Rock Run Rd Friendly WV 26146 Ph: (313) 563-3332 | Marvin L Wells Do Pc 300 Rock Run Rd Friendly WV 26146 Ph: (313) 563-3332 |
NPI Number | 1336295443 |
---|---|
Provider Enumeration Date | 01/25/2007 |
Last Update Date | 11/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336295443 | NPI | - | NPPES |
CE8407 | Other | MI | RR MEDICARE |
110F312140 | Other | MI | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |