Individual
CHRISTINE ANN WYNVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7300
(262) 836-7301
Mailing address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7300
(262) 836-7301
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
47316-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659469096
—
WI
Enumeration date
10/11/2006
Last updated
03/24/2022
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