Individual
DR. ROBERT WYSOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1120 W MICHIGAN ST # CL285, INDIANAPOLIS, IN 46202-5209
(317) 278-0042
Mailing address
1120 W MICHIGAN ST # CL285, INDIANAPOLIS, IN 46202-5209
(317) 278-0042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01089988A
IN
207R00000X
Internal Medicine Physician
315719
NY
208M00000X
Hospitalist Physician
315719
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
06/26/2023
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