Individual provider · Type 1 NPI
Tadeusz Wellisz, MD
Plastic and Reconstructive Surgery Physician · Los Angeles, CA
NPI number
1447560289
Active
Practice location
536 South Rimpau Blvd
Los Angeles, CA 90020
Mailing address
536 S. Rimpau Blvd
Los Angeles, CA 90020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | G57179 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1447560289
Tadeusz Wellisz, MD's National Provider Identifier is 1447560289, issued on Oct 14, 2010. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 14, 2010.