Individual
MONICA PIERCE-WYSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5529
(505) 846-3200
Mailing address
2750 FAIRMONT AVE, OAKWOOD, OH 45419-1342
(605) 858-8357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036122276
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
11/30/2006
Last updated
08/02/2024
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