Individual
DR. FLYNN TRINITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5695
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52059
WI
208M00000X
Hospitalist Physician
52059-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35375500
—
WI
01
—
60803
DEAN HEALTH INSURANCE
WI
Enumeration date
11/29/2006
Last updated
07/28/2015
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