Evan Rustad Welo, PA-C
NPI #1134696446 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1134696446
- Entity Type
- Individual
- Name
- Evan Rustad Welo, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 25, 2018
- Last Updated
- Feb 24, 2022
Practice Location
- Address
- 410 CHURCH ST SE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55455-0222
- Phone
- (612) 624-9194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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