Individual
THEODORE CRISOSTOMO-WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD61305294
WA
Other
Enumeration date
02/14/2017
Last updated
08/03/2025
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