Marvin Lawrence Wells, DO
Individual provider Active NPI Internal Medicine Physician · Friendly, WV
NPI 1215946223 · NPPES record last updated Dec 7, 2010
Key facts
- NPI
- 1215946223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 5101009765 (MI)
- Practice address
- 300 Rock Run Rd.
Friendly, WV 26146 - Phone
- (313) 563-3332
- Fax
- (313) 563-3342
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin L Wells DO PC | Internal Medicine | Past |
Accepting new patients |
| Hospital Health Care Inc. | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101009765 | MI | Yes |
Addresses
Primary practice location
300 Rock Run Rd.
Friendly, WV 26146
Mailing address
300 Rock Run Rd.
Friendly, WV 26146
Phone (313) 563-3332
Other providers in Friendly, WV
All providers in Friendly, WV · Internal Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.