GARRY WELLISCH

SALT LAKE CITY, UT
NPI1770997801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  6848307-4405)
Enumeration Date2014-06-17
Last Update Date2014-06-17
Business Address
Mr. GARRY WELLISCH APRN
441 S REDWOOD RD
SALT LAKE CITY, UT 84104-3539
Phone number: 801-973-2588
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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