Wyland, Douglas John

Wyland, Douglas John is an individual health care provider with primary practice located at 333 S Pine St , Spartanburg SC 29302-2622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wyland, Douglas John can be contacted via phone (864) 515-7500.

Contact Information

Primary practice address
333 S Pine St Spartanburg SC 29302-2622
Fax: (864) 515-7501
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 28429 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 28429 South Carolina

Profile Details

NPI number 1699771121
LBN Legal business name Wyland, Douglas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 10th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699771121 NPPES
South Carolina MEDICAID 284294
South Carolina Other P00354702

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