Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 60367 | MN |
N | 208600000X | Surgeon | 60367 | MN |
N | 208200000X | Surgeon | R-8596 | IA |
N | 208600000X | Surgeon | R-8596 | IA |
Y | 2086X0206X | Surgical Oncologist | MD60741685 | WA |
NPI | 1194950295 |
---|---|
Provider Name | Dr. Jessemae Lynn Welsh |
First Address | Spokane Valley, WA 99216-1020 |
Second Address | Spokane Valley, WA 99216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 30/07/2018 |