Provider Demographics
NPI:1649241977
Name:WELCHLIN, COREY T (DO)
Entity Type:Individual
Prefix:
First Name:COREY
Middle Name:T
Last Name:WELCHLIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:717 S STATE ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:FAIRMONT
Mailing Address - State:MN
Mailing Address - Zip Code:56031-4469
Mailing Address - Country:US
Mailing Address - Phone:507-238-4949
Mailing Address - Fax:507-238-3377
Practice Address - Street 1:717 S STATE ST
Practice Address - Street 2:SUITE 900
Practice Address - City:FAIRMONT
Practice Address - State:MN
Practice Address - Zip Code:56031-4469
Practice Address - Country:US
Practice Address - Phone:507-238-4949
Practice Address - Fax:507-238-3377
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2023-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN33466207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0902069OtherMEDICA
21710OtherSANFORD HEALTH
MN40648WEOtherBLUE CROSS BLUE SHIELD
MN039000300Medicaid
HP20715OtherHEALTH PARTNERS
4320OtherAVERA
MN278G0WEOtherBLUE CROSS BLUE SHIELD
597013OtherAMERICAS PPO
IA0960765Medicaid
112400OtherUCARE MN
974311000774OtherPREFERREDONE
21710OtherSANFORD HEALTH
974311000774OtherPREFERREDONE
0902069OtherMEDICA
MN039000300Medicaid