Individual
WANDA L WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4210 PIONEER WOODS DR, STE A, LINCOLN, NE 68506-7561
(402) 488-4321
(402) 488-4355
Mailing address
4210 PIONEER WOODS DR, STE A, LINCOLN, NE 68506-7561
(402) 488-4321
(402) 488-4355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00961
IA
Other
Enumeration date
06/10/2005
Last updated
07/08/2011
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