person
Michael Wyatt Podielsky, PA
Student in an Organized Health Care Education/Training Program in Pocatello, Idaho
NPI 1144950379

Michael Wyatt Podielsky is a Student in an Organized Health Care Education/Training Program based in Pocatello, ID. Michael Wyatt Podielsky practices in Pocatello, ID and has the professional credentials of PA. The NPI Number for Michael Wyatt Podielsky is 1144950379 and holds a License No. (Idaho).

The current practice location address for Michael Wyatt Podielsky is 921 S 8Th Ave Stop 8253, Pocatello, ID and can be reached out via phone at 208-282-4726.

Location: 921 S 8Th Ave Stop 8253, Pocatello, ID, 83209-0002
person
Provider Profile Details
NPI Number
1144950379
Provider Name
Michael Wyatt Podielsky
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
921 S 8Th Ave Stop 8253, Pocatello, ID, 83209-0002
Phone Number
208-282-4726
Fax Number
Provider Enumeration Date
06/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
921 S 8Th Ave Stop 8253
City
State
Zip
83209-0002
Phone Number
208-282-4726
Fax Number
person
Provider Business Mailing Address Details
Address
921 S 8Th Ave Stop 8253
City
State
Zip
83209-0002
Phone Number
208-282-4726
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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