Individual provider · Type 1 NPI

Jeremy Wodarek

Student in an Organized Health Care Education/Training Program · Richmond, VA

NPI number 1174133573 Active

Practice location

1001 E Leigh St
Richmond, VA 23298-5004

Mailing address

PO Box 980257
Richmond, VA 23298-0257

Other practice locations

  • 1632 Stone St, Saginaw, MI 48602 · (989) 583-6595
  • 401 S Ballenger Hwy, Flint, MI 48532-3638 · (810) 342-2111

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0116041752 (VA)

Student in an Organized Health Care Education/Training Program: 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.

207 other providers at this address

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About NPI 1174133573

Jeremy Wodarek's National Provider Identifier is 1174133573, issued on Jul 31, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, VA. The record was last updated on Sep 22, 2026.