Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Peter Wysocki Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1801446836

Mr. Peter Wysocki Jr., IDC is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (910) 450-4357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1801446836
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedSeptember 11, 2019
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

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