Individual
BETHANY WYSOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4485
(952) 993-1440
Mailing address
9824 CHESTNUT LN, INDIANAPOLIS, IN 46239-9363
(317) 679-5420
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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