| 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 |