Individual
MICHAEL WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCP
Contact information
Practice address
2713 WINDSOR LAKES PKWY, LOUISVILLE, KY 40214-4534
(208) 220-0854
Mailing address
2713 WINDSOR LAKES PKWY, LOUISVILLE, KY 40214-4534
(208) 220-0854
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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