Acacia Wysocki

NPI #1922534098 in Dillingham, Alaska

Provider Information

NPI Number: 1922534098
Entity Type: Individual
Name: Acacia Wysocki
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: May 10, 2017
Last Updated: Apr 24, 2024

Practice Location

Address: 6000 KANAKANAK ROAD
City: Dillingham
State: Alaska
ZIP Code: 99576
Phone: (907) 842-5201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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