Individual
JOSHUA WYETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21258 M 68 HWY, ONAWAY, MI 49765-9692
(989) 733-2082
(989) 733-8487
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 354-2197
(989) 356-6524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007516
MI
Other
Enumeration date
08/27/2015
Last updated
09/08/2015
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