Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 4704260323 | MI |
NPI | 1154812535 |
---|---|
Provider Name | Mrs. Natasha Ann Welker |
First Address | Monroe, MI 48162-3113 |
Second Address | Monroe, MI 48162-3113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2018 |
Last Update Date | 22/05/2018 |