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Individual
MATTHEW WYNNE
Active
Individual
MATTHEW WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53625
TN
207Q00000X
Family Medicine Physician
MD0000053625
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2014
Last updated
11/09/2022
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