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Individual

MR. MICHAEL WYDILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1403 SILVERSIDE RD STE 4B, WILMINGTON, DE 19810-4434
(302) 798-8070
(302) 798-5902
Mailing address
1403 SILVERSIDE RD STE 4B, WILMINGTON, DE 19810-4434
(302) 798-8070
(302) 798-5902

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
C10005759
DE
207KA0200X
Allergy Physician
C10005759
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000024676
DE
01
2625833000
KEYSTONE
01
4620757
AETNA
Enumeration date
08/15/2006
Last updated
03/06/2025
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