Individual
DR. JAMES M. WYNALDA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 BROOKVILLE PLAZA SE, GRAND RAPIDS, MI 49508
(616) 243-5707
(616) 243-1170
Mailing address
8485 ALGOMA AVE, P.O.BOX 346, ROCKFORD, MI 49341
(616) 863-6220
(616) 863-6221
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301053498
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11292441
CAQH
MI
05
—
4737974
—
MI
Enumeration date
03/17/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us