Individual provider · Type 1 NPI
Mace Odle
Student in an Organized Health Care Education/Training Program · Fort Wayne, IN
NPI number
1972340529
Active
Practice location
3030 Santa Rosa Dr
Fort Wayne, IN 46805-2827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
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About NPI 1972340529
Mace Odle's National Provider Identifier is 1972340529, issued on Jul 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 11, 2024.