Dr. Jacob Mickey Wyse
Dr. Jacob Mickey Wyse is an Internal Medicine Physician in San Diego, California. Licensed in Virginia. Registered with an NPI since 2020.
- Licensed in
- VA
- In the registry since
- 2020
Practice location Address checks out
601 McCain BlvdSan Diego, CA 92135-7046
Phone: (619) 545-6128
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 0101273710 (VA) |
|---|
Record details
| NPI number | 1619599354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 16, 2020 |
| Last updated in NPPES | July 11, 2024 |
| Certification date | July 2, 2024 |
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