# DR. ANDREW R WYANT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821087172
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 01045516 | IN | — |
| 207Q00000X | Family Medicine Physician | 2018015413 | MO | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 01045516A | IN | — |
| 208M00000X | Hospitalist Physician | 2018015413 | MO | — |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 03/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200064758 | — | MO |
| 05 | — | 200105220 | — | IN |