Individual provider · Type 1 NPI

Clayton Ellis Wisely

Student in an Organized Health Care Education/Training Program · Columbus, OH

NPI number 1669834875 Active

Practice location

793 W State St
Columbus, OH 43222-1551

Call (614) 234-5000 Map

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 1669834875

Clayton Ellis Wisely's National Provider Identifier is 1669834875, issued on Mar 26, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbus, OH. The record was last updated on Mar 30, 2016.