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Dr. Benjamin Michael Waletzko, MD
Student in an Organized Health Care Education/Training Program in St Petersburg, Florida
NPI 1992446314

Benjamin Michael Waletzko is a Student in an Organized Health Care Education/Training Program based in St Petersburg, FL. Benjamin Michael Waletzko practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Benjamin Michael Waletzko is 1992446314 and holds a License No. (Florida).

The current practice location address for Benjamin Michael Waletzko is 501 6Th Ave S, St Petersburg, FL and can be reached out via phone at 727-767-4106 and via fax at 727-767-8804.

Location: 501 6Th Ave S, St Petersburg, FL, 33701-4634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992446314
Provider Name
Benjamin Michael Waletzko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
501 6Th Ave S, St Petersburg, FL, 33701-4634
Phone Number
727-767-4106
Fax Number
727-767-8804
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
501 6Th Ave S
City
St Petersburg
State
Florida
Zip
33701-4634
Phone Number
727-767-4106
Fax Number
727-767-8804
person
Provider Business Mailing Address Details
Address
501 6Th Ave S
City
St Petersburg
State
Florida
Zip
33701-4634
Phone Number
727-767-4106
Fax Number
727-767-8804
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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