Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colton Anthony Wegrzyn, IDC

Individual provider Independent Duty Corpsman · NPI 1336730019

Colton Anthony Wegrzyn, IDC is an Independent Duty Corpsman in Gulfport, Mississippi. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5501 Marvin Shields Blvd
Gulfport, MS 39501-9007
Phone: (228) 822-5919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1336730019
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJanuary 27, 2021
Last updated in NPPESAugust 15, 2023
Certification dateSeptember 9, 2021

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