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Individual

DR. RICHARD E WYSZYNSKI

Active
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Individual

DR. RICHARD E WYSZYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35-054663-W
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35.054663
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000126323
ANTHEM
OH
01
—
0011833800001
MEDICAID
PA
01
—
0800331
UNITED HEALTHCARE
OH
05
—
0808602
—
OH
01
—
180011157
RAILROAD MEDICARE
OH
01
—
4125776
AETNA
OH
01
—
574789
KEYSTONE
OH
01
—
80523
QUALCHOICE
OH
01
—
M54663
SUMMACARE
OH
Enumeration date
08/15/2005
Last updated
06/02/2021
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