Provider Demographics
NPI:1568206878
Name:WELL AND COMPANY
Entity type:Organization
Organization Name:WELL AND COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAUNDRA
Authorized Official - Middle Name:KAYLEE
Authorized Official - Last Name:LAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-766-1409
Mailing Address - Street 1:2330 TROOP DR UNIT 102
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-4531
Mailing Address - Country:US
Mailing Address - Phone:320-288-1403
Mailing Address - Fax:
Practice Address - Street 1:2330 TROOP DR UNIT 101
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-4531
Practice Address - Country:US
Practice Address - Phone:320-288-1403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WELL AND COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-21
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center