To, Wyatt Clarence

To, Wyatt Clarence is an individual health care provider with primary practice located at 63 Thomas Johnson Dr Suite, Frederick MD 21702-4384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as his primary health care specialty. To, Wyatt Clarence can be contacted via phone (301) 698-2424.

Contact Information

Primary practice address
63 Thomas Johnson Dr Suite Frederick MD 21702-4384
Phone: (301) 698-2424
Fax: (301) 698-1018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X M55987 Maryland

Profile Details

NPI number 1134102569
LBN Legal business name To, Wyatt Clarence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jun 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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