Individual
DAVID FRANK WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3570 GRANDVIEW PARKWAY, SUITE 100-A, BIRMINGHAM, AL 35243-2033
(205) 595-9222
(205) 595-9444
Mailing address
PO BOX 380756, BIRMINGHAM, AL 35238-0756
(205) 595-9222
(205) 595-9444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21252
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421594377
MEDICARE COMPLETE
AL
01
—
515 16577
BLUE CROSS/BLUE SHIELD
AL
01
—
6745381
CIGNA
AL
01
—
7223121
AETNA
AL
Enumeration date
10/10/2006
Last updated
08/18/2015
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