Individual
DR. TIMOTHY ROBERT WYSOZAN
Active
Individual
DR. TIMOTHY ROBERT WYSOZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
036163174
IL
207ZD0900X
Dermatopathology (Pathology) Physician
01087075A
IN
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
036163174
IL
Other
Enumeration date
04/09/2018
Last updated
04/16/2024
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