MR. Lucas John Wyzlic, P.A.
NPI #1760731012 in West Branch, Michigan
Provider Information
- NPI Number
- 1760731012
- Entity Type
- Individual
- Name
- MR. Lucas John Wyzlic, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Aug 31, 2012
- Last Updated
- Aug 31, 2012
Practice Location
- Address
- 621 COURT STREET
- Address 2
- SUITE 104
- City
- West Branch
- State
- Michigan
- ZIP Code
- 48661
- Phone
- (989) 701-2293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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