Individual
JEAN F WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
DEPT OF OB/GYN & WOMEN'S HEALTH, 420 DELAWARE STREET SE MMC 395, MINNEAPOLIS, MN 55455
(763) 782-6400
(763) 782-9558
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE ST SE MMC292, MINNEAPOLIS, MN 55455
(763) 782-6400
(763) 782-9558
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R 138190-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-04568
MEDICA - PRIMARY
MN
01
—
04-08300
MEDICA - CHOICE
MN
05
—
0715078
—
IA
01
—
1019243
PREFERRED ONE
MN
01
—
123361
UCARE
MN
01
—
2378192
ARAZ
MN
05
—
41262700
—
WI
05
—
4305977
—
MT
01
—
502K7WY
BCBS
MN
01
—
84536-2
FAIRVIEW CAREGIVE
MN
01
—
B612
CHAMPUS
MN
01
—
HP27464
HEALTHPARTNERS
MN
Enumeration date
10/03/2006
Last updated
07/08/2007
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