Individual provider · Type 1 NPI
Wyatt Ostrum
Student in an Organized Health Care Education/Training Program · North Branch, MI
NPI number
1275147589
Active
Practice location
5190 Willis Rd
North Branch, MI 48461-8969
Mailing address
706 Emmet St
Ypsilanti, MI 48197-2971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
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.
About NPI 1275147589
Wyatt Ostrum's National Provider Identifier is 1275147589, issued on Sep 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Branch, MI. The record was last updated on Sep 3, 2020.