Provider Information for 1780077503
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AMY WELSCH
Sex: Female
NPI: 1780077503
Last Updated: 2022-12-10
Certification Date: 2022-12-10
Certification Date: 2022-12-10
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1780077503 | ||||||||||||
| Enumeration Date | 2015-03-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3250 S PINEWOOD CREEK CT APT 301 NEW BERLIN, WI 53151-9403 United States Phone: 262-355-5809 | Fax: | ||||||||||||
| Primary Practice Address | 3250 S PINEWOOD CREEK CT APT 301 NEW BERLIN, WI 53151-9403 United States Phone: 262-355-5809 | Fax: | ||||||||||||
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