Organization
MICHAEL LEE WYNN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEE WYNN MD (PRESIDENT)
(925) 277-1055
Entity
Organization
Contact information
Practice address
5601 NORRIS CANYON RD, SUITE 100, SAN RAMON, CA 94583
(925) 277-1055
(925) 277-1915
Mailing address
5601 NORRIS CANYON RD, SUITE 100, SAN RAMON, CA 94583
(925) 277-1055
(925) 277-1915
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00G398000
CA
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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