Individual
DR. JONATHAN WYNSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 251-4543
(270) 251-4544
Mailing address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 251-4543
(270) 251-4544
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31915
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64319155
—
KY
Enumeration date
05/26/2005
Last updated
10/27/2014
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