Walter Thomas Wiswell is a student in an organized health care education training program in Jacksonville, FL with 7 years of experience. The provider is 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. Walter Thomas Wiswell NPI is 1215469382. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017
The provider's business location address is:
1818 VALENCIA DR
JACKSONVILLE, FL
ZIP 32207-533
Phone: (904) 434-6281
The NPI 1215469382 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/29/2017 and was last updated on 12/21/2021.