Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 2446 | ND |
NPI | 1033874219 |
---|---|
Provider Name | Dr. Megan Michelle Welk |
First Address | Bismarck, ND 58503-8498 |
Second Address | Bismarck, ND 58504-5859 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2021 |
Last Update Date | 03/11/2021 |