GRANT WYSONG

INDIANAPOLIS, IN
NPI1699652545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: IN  71016996A)
Additional Taxonomies363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: IN  28222590A)
Enumeration Date2025-08-20
Last Update Date2025-09-02
Business Address
GRANT WYSONG
7250 CLEARVISTA DR STE 355
INDIANAPOLIS, IN 46256-5609
Phone number: 317-621-6262
Mailing Address
GRANT WYSONG
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-1699