Individual
TYGH WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 822-8888
Mailing address
PO BOX 24503, SEATTLE, WA 98124-0503
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60273276
WA
207L00000X
Anesthesiology Physician
MT190162
PA
Other
Enumeration date
06/25/2008
Last updated
05/04/2015
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