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Individual
SHANNON ELIZABETH MICHEL WYNN
Active
Individual
SHANNON ELIZABETH MICHEL WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
74367
CT
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
74367
CT
Other
Enumeration date
03/21/2018
Last updated
12/09/2025
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