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Individual

WYNN H HEMMERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
36 N 1100 E, SUITE A, AMERICAN FORK, UT 84003-2912
(801) 772-0775
(801) 772-1941
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 429-8180

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1620951205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0423
DMBA
UT
01
107006220101
IHC HEALTHPLANS
UT
01
1692
PEHP
UT
01
29-00039
UNITED HEALTHCARE
UT
05
870281028000
UT
01
870281028HE1
EMIA
UT
01
QM0000009173
ALTIUS
UT
Enumeration date
05/03/2006
Last updated
10/17/2007
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