Michael Bruce Wyman, M.D.

NPI #1104824648 in Portland, Oregon

Provider Information

NPI Number: 1104824648
Entity Type: Individual
Name: Michael Bruce Wyman, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jul 8, 2005
Last Updated: Dec 31, 2007

Practice Location

Address: 5050 NE HOYT ST
Address 2: SUITE 340
City: Portland
State: Oregon
ZIP Code: 97213-2991
Phone: (503) 234-9861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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