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Individual

JACOB WYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2200 KERNAN DRIVE, BALTIMORE, MD 21207
(410) 448-7112
Mailing address
2200 KERNAN DRIVE, BALTIMORE, MD 21207
(410) 448-7112

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
O1555
MD

Other

Enumeration date
06/10/2009
Last updated
03/14/2019
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