Individual
PROF. JOHN M WYSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., L.AC.
Contact information
Practice address
9145 GUILFORD RD STE 100, COLUMBIA, MD 21046-2576
(410) 880-4215
Mailing address
9145 GUILFORD RD STE 100, COLUMBIA, MD 21046-2576
(410) 880-4215
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00962
MD
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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