Garrett James Wolfram
Student in an Organized Health Care Education/Training Program in South Bend, IN. Individual provider (NPI-1).
NPI number1184453094
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1184453094
- Entity type
- Individual (NPI-1)
- Name
- Garrett James Wolfram
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2024
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1234 N Notre Dame AveSouth Bend, IN 46617-1404
Phone 574-218-1187
Mailing address
1814 Irish WaySouth Bend, IN 46637-5475
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All 69 Student in an Organized Health Care Education/Training Program providers in South Bend · All 3,973 providers in South Bend
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