Organization
WYNSTRA WOMENS HEALTHCARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WYNSTRA M.D. (PHYSICIAN)
(270) 251-4543
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 251-4545
(270) 251-4546
Mailing address
1029 MEDICAL CENTER CIR, SUITE 200, MAYFIELD, KY 42066-1189
(270) 251-4545
(270) 251-4546
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000497608
ANTHEM
KY
05
—
65945891
—
KY
Enumeration date
11/20/2006
Last updated
02/14/2008
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