Individual
COREY WESENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
8128 TETHYS CT, MELBOURNE, FL 32940-8472
(407) 937-9626
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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