Individual
DR. STUART M WYCKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42 CRONIN RD, PRESQUE ISLE, ME 04769-5290
(207) 764-7651
Mailing address
PO BOX 32, PRESQUE ISLE, ME 04769-0032
(207) 764-7651
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
013113
ME
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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