Individual
WYNN H HEMMERT
Active
Individual
WYNN H HEMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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