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Wyatt Robinson
Student in an Organized Health Care Education/Training Program in Vienna, Illinois
NPI 1548944614

Wyatt Robinson is a Student in an Organized Health Care Education/Training Program based in Vienna, IL. Wyatt Robinson practices in Vienna, IL. The NPI Number for Wyatt Robinson is 1548944614 and holds a License No. (Illinois).

The current practice location address for Wyatt Robinson is 325 Old Bloomfield Rd, Vienna, IL and can be reached out via phone at 618-771-6004.

Location: 325 Old Bloomfield Rd, Vienna, IL, 62995-2619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548944614
Provider Name
Wyatt Robinson
Credential
Provider Entity Type
Individual
Gender
Male
Address
325 Old Bloomfield Rd, Vienna, IL, 62995-2619
Phone Number
618-771-6004
Fax Number
Provider Enumeration Date
06/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 Old Bloomfield Rd
City
Vienna
State
Illinois
Zip
62995-2619
Phone Number
618-771-6004
Fax Number
person
Provider Business Mailing Address Details
Address
325 Old Bloomfield Rd
City
Vienna
State
Illinois
Zip
62995-2619
Phone Number
618-771-6004
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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