Individual
ELISABETH KRISTINE WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
35.142387
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449753
—
OH
Enumeration date
06/22/2012
Last updated
11/19/2025
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