Matthew Gregory Wrench
Radiology, Diagnostic Radiology in Gainesville, FL. Individual provider (NPI-1).
NPI number1043741978
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1043741978
- Entity type
- Individual (NPI-1)
- Name
- Matthew Gregory Wrench
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2017
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | OS18805 | FL | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 2023-01704 | NC |
Practice location
1600 Sw Archer RoadGainesville, FL 32610-3003
Phone 352-265-0291
Mailing address
Po Box 100374Gainesville, FL 32610-0374
Phone 352-265-0291
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