Dylan Wade Street
NPI #1013471424 in Metropolis, Illinois
Provider Information
- NPI Number
- 1013471424
- Entity Type
- Individual
- Name
- Dylan Wade Street
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Jan 30, 2019
- Last Updated
- Jan 30, 2019
Practice Location
- Address
- 206 W 5TH ST
- City
- Metropolis
- State
- Illinois
- ZIP Code
- 62960-1810
- Phone
- (618) 524-9368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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| Reis Brugger | |
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