Individual
SEAN MICHAEL TYSZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 KINGSLEY LN STE 305, NORFOLK, VA 23505-4617
(757) 889-5422
(757) 889-5450
Mailing address
110 KINGSLEY LN STE 305, NORFOLK, VA 23505-4617
(757) 889-5422
(757) 889-5450
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101246235
VA
2085R0202X
Diagnostic Radiology Physician
22111
WV
2085R0202X
Diagnostic Radiology Physician
D70816
MD
2085R0202X
Diagnostic Radiology Physician
MD038550
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588871073
—
VA
Enumeration date
05/16/2007
Last updated
06/19/2019
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