MR. Cody Werven, IDC

NPI #1902350085 in Groton, Connecticut

Provider Information

NPI Number
1902350085
Entity Type
Individual
Name
MR. Cody Werven, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDC
Enumeration Date
Aug 6, 2016
Last Updated
Aug 6, 2016

Practice Location

Address
150 LESTERTOWN RD
City
Groton
ZIP Code
06340-2817
Phone
(847) 271-7404

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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