Provider Demographics
NPI:1255540233
Name:WELCH, ROBERT FRANKLIN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANKLIN
Last Name:WELCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 FAIRWAY CT
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-3411
Mailing Address - Country:US
Mailing Address - Phone:952-443-2395
Mailing Address - Fax:
Practice Address - Street 1:1416 FAIRWAY CT
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-3411
Practice Address - Country:US
Practice Address - Phone:952-443-2395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN23376207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MND79959Medicare UPIN