Individual
JAMES HENELY WYKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 BANNOCK ST FL 5, DENVER, CO 80204-4506
(303) 436-4949
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61204349
WA
207RP1001X
Pulmonary Disease Physician
Primary
DR0070870
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386106557
—
WA
Enumeration date
04/04/2019
Last updated
06/21/2023
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