Individual
MR. DUSTIN WICZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 E WOOSTER ST, BOWLING GREEN, OH 43402-9083
(419) 373-8610
Mailing address
2111 E WOOSTER ST, BOWLING GREEN, OH 43402-9083
(419) 373-8610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03237262
OH
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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