Wyeth Brock
Wyeth Brock is a Student in an Organized Health Care Education/Training Program in Muncie, Indiana. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2401 W University AveMuncie, IN 47303-3428
Phone: (765) 747-3111
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1477300275 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 1, 2024 |
| Last updated in NPPES | May 1, 2024 |
| Certification date | May 1, 2024 |
| Mailing address | 6336 Horseshoe Rd, Morgantown, IN 46160-8210 |
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