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Individual

DOUGLAS BRUCE WYATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2570 JACKSON AVE STE C, ANN ARBOR, MI 48103-3853
(734) 823-7820
(734) 823-7821
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018165
MI

Other

Enumeration date
12/16/2018
Last updated
09/12/2025
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