Individual
TIA WYSKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7190 ROOKWAY RD, BRIDGEPORT, MI 48722-9764
(989) 320-6368
Mailing address
7190 ROOKWAY RD, BRIDGEPORT, MI 48722-9764
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MI
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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