Individual
ALEXANDER MICHAEL GWYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DOS-2060
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2018
Last updated
09/12/2022
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