Individual
WAYNE WROLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 MADONNA LN, BROOMALL, PA 19008-2264
(610) 804-0336
Mailing address
3605 CHAPEL RD, UNIT C, NEWTOWN SQUARE, PA 19073-3602
(610) 766-7222
(610) 766-7205
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28133601
PA
3747P1801X
Personal Care Attendant
28133601
PA
374U00000X
Home Health Aide
28133601
PA
376K00000X
Nurse's Aide
Primary
28133601
PA
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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