Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 35087914 | OH |
NPI | 1013945641 |
---|---|
Provider Name | Patrick Richard Wells |
First Address | Dublin, OH 43016-4141 |
Second Address | Columbus, OH 43214-3937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 05/01/2022 |