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Individual

ALLISON M WYMAN

Active
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Individual

ALLISON M WYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME115925
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017766300
FL
01
XBO63
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/30/2009
Last updated
10/21/2024
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