LUCAS JOHN WYZLIC

WEST BRANCH, MI
NPI1760731012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006424)
Enumeration Date2012-08-31
Last Update Date2012-08-31
Business Address
Mr. LUCAS JOHN WYZLIC P.A.
621 COURT STREET SUITE 104
WEST BRANCH, MI 48661
Phone number: 989-701-2293
Mailing Address
Mr. LUCAS JOHN WYZLIC P.A.
4238 LAKESIDE DRIVE
WEST BRANCH, MI 48661
Phone number: 775-315-1022