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Individual

DR. TIMOTHY ROBERT WYSOZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1220 HOBSON RD STE 244, NAPERVILLE, IL 60540-8138
(630) 780-7729
Mailing address
1220 HOBSON RD STE 244, NAPERVILLE, IL 60540-8138
(630) 780-7729

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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