Individual
MARIGAIL WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 SANGERS LN, STAUNTON, VA 24401-6712
(540) 213-7537
(540) 887-3240
Mailing address
85 SANGERS LN, STAUNTON, VA 24401-6712
(540) 213-7537
(540) 887-3240
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101021751
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110281
ANTHEM
VA
01
—
184030
COMPSYCH
VA
01
—
23366700
MAGELLAN
VA
01
—
O86253
SENTARA
VA
Enumeration date
07/24/2006
Last updated
07/09/2007
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