Individual
DOUGLAS WYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 SQUALICUM PKWY, BELLINGHAM, WA 98225-1857
(360) 671-7100
Mailing address
2950 SQUALICUM PKWY, BELLINGHAM, WA 98225-1857
(360) 671-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00013455
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1954908
—
WA
Enumeration date
09/30/2006
Last updated
07/09/2007
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