Provider Demographics
NPI:1972399533
Name:WELCH, DILLON THOMAS (MD)
Entity type:Individual
Prefix:
First Name:DILLON
Middle Name:THOMAS
Last Name:WELCH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4127 WILLISTON RD
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-2060
Mailing Address - Country:US
Mailing Address - Phone:763-486-5847
Mailing Address - Fax:
Practice Address - Street 1:4127 WILLISTON RD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-2060
Practice Address - Country:US
Practice Address - Phone:763-486-5847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program