NPI 1265779896
Jon Michael Wogoman
Practice location
- Address
- 59502 County Road 7, Elkhart, IN 46517-9527
- Phone
- (574) 575-0496
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1265779896
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Jan 2013
- Record last updated
- 16 Jan 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.