Individual
JENNIFER SUSAN WYGANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 PINE ST STE 1250, SAN FRANCISCO, CA 94111-5235
(415) 985-6697
Mailing address
109 W 27TH ST STE 5S, NEW YORK, NY 10001-0265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A23425
CA
2084P0800X
Psychiatry Physician
Primary
5101023270
MI
Other
Enumeration date
06/08/2017
Last updated
02/24/2026
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