Individual
JOHN MATTHEW WYSOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
JD
Contact information
Practice address
1370 LOG POND DR APT 202, NEWARK, OH 43055-0010
(740) 405-4869
Mailing address
1370 LOG POND DR APT 202, NEWARK, OH 43055-0010
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RQ411071
OH
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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