NPI 1760742738

Michael Eugene Wylie

Practitioner Basic Emergency Medical Technician Apo, AP

Practice location

Address: Headquarters, US Army Medical Department Activity-Japan Bg Crawford F. Sams, US Army Health Clinic, Unit 45011, Apo, AP 96343-5011
Phone: (315) 263-2807
Mailing address: Unit 45013 Box 2803, Apo, AP 96338-5013

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence E1560296 (OH)

Other Emergency Medical Technician, Basic providers in Armed Forces Pacific →

Registry record

NPI: 1760742738
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2012
Record last updated: 23 May 2012

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.