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Individual

DR. JEDRZEJ MICHAL WYKRETOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
6251 E VIRGINIA BEACH BLVD STE 200, NORFOLK, VA 23502-2800
(757) 466-8683
(757) 466-8892
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 213-5700
(757) 213-5701

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101274951
VA
207RH0003X
Hematology & Oncology Physician
4301109160
MI

Other

Enumeration date
07/10/2010
Last updated
06/29/2022
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