Individual
JOSEPH RAYMOND WYSOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2316 WALKER BUILDING, AUBURN UNIVERSITY, AL 36849-0001
(724) 994-7120
Mailing address
428 FRAZIER ST, AUBURN, AL 36830-3847
(334) 844-4195
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12406
AL
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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