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

Henry Benjamin Wilantewicz IV

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376310078

Henry Benjamin Wilantewicz IV is a Student in an Organized Health Care Education/Training Program in University Park, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

201 Shields Bldg
University Park, PA 16802-1204
Phone: (814) 865-5471
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376310078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address213 Ashburn Ave, Manahawkin, NJ 08050-2378

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