Individual
MR. ADOLPH MICHAEL WYCHULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 S MAIN ST, SHENANDOAH, PA 17976-2331
(570) 462-1033
(570) 462-1171
Mailing address
24 S MAIN ST, SHENANDOAH, PA 17976-2331
(570) 462-1033
(570) 462-1171
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD418365
PA
Other
Enumeration date
08/29/2005
Last updated
03/18/2008
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