Individual
GARY EDWIN WYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18682
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10241E948
UCARE
—
01
—
73B30WY
BLUECROSS BLUESHIELD
—
01
—
928624
MEDICA
—
01
—
969990824016
PREFERREDONE
—
01
—
HP14727
HEALTHPARTNERS
—
Enumeration date
08/23/2006
Last updated
07/11/2007
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