PHILIP WYATT

LANSING, MI
NPI1184205221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5151014946)
Enumeration Date2021-04-20
Last Update Date2021-04-20
Business Address
PHILIP WYATT DO
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
Mailing Address
PHILIP WYATT DO
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000