Individual
MICHAEL WYSKIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
5265 N ACADEMY BLVD STE 2600, COLORADO SPRINGS, CO 80918-4081
(970) 310-3406
Mailing address
1283 YUMA ST UNIT 201, COLORADO SPRINGS, CO 80909-4161
(815) 651-5455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0996839
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
—
Enumeration date
08/19/2021
Last updated
08/19/2021
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