DR. Thane Castulo Wedum, DPM is a student in an organized health care education training program in Johnson City, TN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Thane Castulo Wedum, DPM NPI is 1770293326. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
809 LAMONT ST
JOHNSON CITY, TN
ZIP 37604-453
Phone: (423) 926-1171
The enumeration date for this NPI number is 12/5/2022 and was last updated on 12/5/2022.