Individual
SHAWN ANDREW WYGANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
208 OTTAWA CT, OSCODA, MI 48750-1462
(989) 335-5134
(989) 739-1417
Mailing address
208 OTTAWA CT, OSCODA, MI 48750-1462
(989) 335-5134
(989) 739-1417
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
6352000017
MI
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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