Cody Werven, IDC Valid NPI
Individual provider · Independent Duty Medical Technicians · Groton, CT
- NPI
- 1902350085
- Type
- Individual (Type 1)
- Primary specialty
- Independent Duty Medical Technicians (Military Health Care Provider)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1710I1003X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2016-08-06
- Last updated
- 2016-08-06
Practice location
150 Lestertown Rd
Groton, CT 06340-2817
(847) 271-7404