Individual
DR. DAVID A WYSZOMIERSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 WELDON ST, LATROBE, PA 15650-1848
(724) 539-3535
(724) 532-0610
Mailing address
214 REBECCA DR, LATROBE, PA 15650-2278
(724) 537-0591
(724) 532-0610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD030754E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972920003
—
PA
01
—
101297
HIGHMARK
PA
01
—
102996
UPMC FOR YOU
PA
01
—
163796
THREE RIVERS MEDPLUS
PA
01
—
4278510
AETNA MANAGED CHOICE
PA
01
—
812894
AETNA HMO
PA
01
—
P000880
GATEWAY HEALTH PLAN
PA
Enumeration date
06/16/2005
Last updated
07/08/2007
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