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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Walter F Wrenn | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Walter | [sources] | |||
| ID Number | MD016666E | [sources] | |||
| Last name | Wrenn | [sources] | |||
| Middle name | F | [sources] | |||
| NPI | 1114023009 | [sources] | |||
| Sector | 207R00000X | [sources] | |||
| Position | III | [sources] | |||
| Address | Out of State, Out of State | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
List of providers excluded from participating in the Delaware Medicaid program.
United States of America · DHSS
us-medde-22873d0c2f50298ebce910d7e0a115ae854d134d · us-medpa-0af617800244783be91183aa92427c8b7243ec06For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | PA Dept of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Out of State, Out of State | United States of America | |
| United States of America | Department of Human Services | - | - |