Individual
TYLER SCOTT WANSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
(304) 598-4897
Mailing address
2035 MOUNTAIN ASH LN, MORGANTOWN, WV 26501-1138
(304) 266-6338
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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