Individual
DR. DANIELLE WYZGOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
14500 HALL RD, STERLING HEIGHTS, MI 48313-1229
(586) 247-2700
Mailing address
412 E SUNNYBROOK DR, ROYAL OAK, MI 48073-2635
(248) 320-6291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101026731
MI
2080P0203X
Pediatric Critical Care Medicine Physician
5101026731
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2019
Last updated
06/16/2022
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