Individual provider · Type 1 NPI

Jonathan Manit Wyrick, MD

Student in an Organized Health Care Education/Training Program · Fresno, CA

NPI number 1528646833 Active

Practice location

155 N Fresno St
Fresno, CA 93701-2302

Call (559) 499-6603 Map

Mailing address

185 S Orange Ave Bldg ROOMG594
Newark, NJ 07103-2757

Other practice locations

  • 185 S Orange Ave, Newark, NJ 07103-2757 · (972) 973-5018

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1528646833

Jonathan Manit Wyrick, MD's National Provider Identifier is 1528646833, issued on Mar 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fresno, CA. The record was last updated on May 11, 2026.