Individual
JOHN WILLIAM TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33672 BAYVIEW MEDICAL DR FL 1, LEWES, DE 19958-1687
(302) 703-3630
(302) 703-3637
Mailing address
1515 SAVANNAH RD, LEWES, DE 19958-1675
(302) 645-3499
(302) 644-4830
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C1-0024755
DE
208600000X
Surgery Physician
ME80209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059270300
—
FL
Enumeration date
09/12/2005
Last updated
06/10/2025
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