Robert Ross Welliver, MD
Student in an Organized Health Care Education/Training Program in Buffalo, NY. Individual provider (NPI-1).
NPI number1023697232
StatusActive
Last updated in NPPESApr 6, 2021
Details
- NPI
- 1023697232
- Entity type
- Individual (NPI-1)
- Name
- Robert Ross Welliver
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2021
- Certification date
- Apr 6, 2021
- Last updated
- Apr 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
818 Ellicott StBuffalo, NY 14203-1021
Phone 716-323-2000
Mailing address
818 Ellicott StBuffalo, NY 14203-1021
Phone 716-323-2000
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