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Corey Wesenberg
Student in an Organized Health Care Education/Training Program in Melbourne, Florida
NPI 1154007847

Corey Wesenberg is a Student in an Organized Health Care Education/Training Program based in Melbourne, FL. Corey Wesenberg practices in Melbourne, FL. The NPI Number for Corey Wesenberg is 1154007847 and holds a License No. (Florida).

The current practice location address for Corey Wesenberg is 1350 Hickory St, Melbourne, FL and can be reached out via phone at 321-434-7000.

Location: 1350 Hickory St, Melbourne, FL, 32940-8472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154007847
Provider Name
Corey Wesenberg
Credential
Provider Entity Type
Individual
Gender
Male
Address
1350 Hickory St, Melbourne, FL, 32940-8472
Phone Number
321-434-7000
Fax Number
Provider Enumeration Date
06/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1350 Hickory St
City
Melbourne
State
Florida
Zip
32901-3224
Phone Number
321-434-7000
Fax Number
person
Provider Business Mailing Address Details
Address
1350 Hickory St
City
Melbourne
State
Florida
Zip
32901-3224
Phone Number
321-434-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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