IndividualActive
Adam Behrendt, SOIDC
NPI 1508127788 · Independent Duty Corpsman · Fpo
Provider details
- NPI number
- 1508127788
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SOIDC
- Sex
- Male
- Sole proprietor
- No
Practice location
Psc 559 Box 6473
Fpo, 96377-6400
Phone: (920) 785-3197
Mailing address
218 Aspen Grove Ln
Wausau, WI 54403-9358
Registry dates
- Enumerated
- 2012-06-04
- Last updated
- 2012-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.