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Individual

DR. FLYNN TRINITY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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