Individual
DR. JAMES JEFFERSON WYSOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3103 CAMPBELL ST, SANDUSKY, OH 44870
(419) 625-4461
(419) 625-5199
Mailing address
3103 CAMPBELL ST, SANDUSKY, OH 44870
(419) 625-4461
(419) 625-5199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35047619W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000131843
ANTHEM
OH
01
—
04375
PARAMOUNT
OH
05
—
0538681
—
OH
Enumeration date
02/06/2006
Last updated
07/08/2007
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