Individual
DR. JOHN W. WYLLIE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
(304) 517-1404
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
23086
WV
207Y00000X
Otolaryngology Physician
35084546
OH
207Y00000X
Otolaryngology Physician
36803
KY
207Y00000X
Otolaryngology Physician
Primary
3816
WI
207Y00000X
Otolaryngology Physician
73267
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011846
—
WV
05
—
L2496384
—
OH
Enumeration date
11/14/2005
Last updated
02/16/2024
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