Seth Walter Wietgrefe
Community Health Worker in Fairbanks, AK. Individual provider (NPI-1).
NPI number1982361663
StatusActive
Last updated in NPPESJan 14, 2022
Details
- NPI
- 1982361663
- Entity type
- Individual (NPI-1)
- Name
- Seth Walter Wietgrefe
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2021
- Certification date
- Jan 14, 2022
- Last updated
- Jan 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
3101 Lathrop StFairbanks, AK 99701-7426
Phone 907-474-0890 · Fax 907-474-3621
Mailing address
3101 Lathrop StFairbanks, AK 99701-7426
Phone 907-474-0890 · Fax 907-474-3621
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All 460 Community Health Worker providers in Fairbanks · All 3,932 providers in Fairbanks
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