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1770997801
GARRY WELLISCH
SALT LAKE CITY, UT
NPI
1770997801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 6848307-4405)
Enumeration Date
2014-06-17
Last Update Date
2014-06-17
Business Address
Mr. GARRY WELLISCH APRN
441 S REDWOOD RD
SALT LAKE CITY, UT 84104-3539
Phone number: 801-973-2588
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Mailing Address
Mr. GARRY WELLISCH APRN
441 S REDWOOD RD
SALT LAKE CITY, UT 84104-3539
Phone number: 801-973-2588
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