Individual
ALEXANDER MICHAEL GWYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(215) 360-8347
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 228-6076
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
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Other
Enumeration date
03/05/2018
Last updated
09/12/2022
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