Doctor Name: | DR. WILLIAM WELLS |
NPI Number: | 1013937176 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 27565 |
Business Practice Address: | 4801 W 81st St Suite 108 Bloomington, MN - 554371111 |
Business Phone Number: | 9528379700 |
Business Fax Number: | 9528379701 |
Mailing Address: | 4801 W 81st St, Suite 108 BLOOMINGTON |
State: | MN |
Postal Code: | 554371111 |
Phone Number: | 9528379700 |
Fax Number: | 9528379701 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 27565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |