Provider Demographics
NPI:1992812952
Name:WELCH, ANDREW M (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:M
Last Name:WELCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1847
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49443-1847
Mailing Address - Country:US
Mailing Address - Phone:231-727-4444
Mailing Address - Fax:231-728-4789
Practice Address - Street 1:1675 LEAHY ST
Practice Address - Street 2:SUITE 324B
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-5500
Practice Address - Country:US
Practice Address - Phone:231-728-1700
Practice Address - Fax:231-728-1675
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2013-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301405156207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1004106361OtherBCBS OF MICHIGAN
MI3318800Medicaid
E37303Medicare UPIN