Wysong, Stephen Todd

Wysong, Stephen Todd is an individual health care provider with primary practice located at 601 John St Suite M-283, Kalamazoo MI 49007-5341. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Wysong, Stephen Todd can be contacted via phone (269) 349-7696.

Contact Information

Primary practice address
601 John St Suite M-283 Kalamazoo MI 49007-5341
Phone: (269) 349-7696
Fax: (269) 349-0610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301058092 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301058092 Michigan

Profile Details

NPI number 1013952985
LBN Legal business name Wysong, Stephen Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Nov 27th, 2023 - 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 1013952985 NPPES
Michigan MEDICAID 3279453-10
Michigan Other 3403903000
Michigan Other 112048
Michigan Other 5898515
Michigan Other 020C91020

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