Marvin Wellen, M.d. | |
17971 Biscayne Blvd Suite 208 Aventura FL 33160-2578 | |
(305) 931-0555 | |
Not Available |
Full Name | Marvin Wellen, M.d. |
---|---|
Speciality | Internal Medicine |
Location | 17971 Biscayne Blvd, Aventura, Florida |
Authorized Official Name and Position | Marvin Wellen (MANAGING PHYSICIAN) |
Authorized Official Contact | 3059310555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Marvin Wellen, M.d. 17971 Biscayne Blvd Suite 208 Aventura FL 33160-2578 Ph: (305) 931-0555 | Marvin Wellen, M.d. 17971 Biscayne Blvd Suite 208 Aventura FL 33160-2578 Ph: (305) 931-0555 |
NPI Number | 1649456583 |
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Provider Enumeration Date | 01/10/2008 |
Last Update Date | 11/13/2009 |
Medicare PECOS PAC ID | 1355538539 |
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Medicare Enrollment ID | O20101214000860 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649456583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME35679 (Florida) | Primary |
Provider Name | Marvin Wellen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518981075 PECOS PAC ID: 5799972972 Enrollment ID: I20101214000894 |
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