JACOB MICKEY WYSE

SAN DIEGO, CA
NPI1619599354
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: VA  0101273710)
Enumeration Date2020-05-16
Last Update Date2024-07-11
Business Address
Dr. JACOB MICKEY WYSE
601 MCCAIN BLVD
SAN DIEGO, CA 92135-7046
Phone number: 619-545-6128
Mailing Address
Dr. JACOB MICKEY WYSE
PO BOX 357135
SAN DIEGO, CA 92135-7135
Phone number:
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