Individual
DR. ALAN HOWARD WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14139 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-4644
(703) 359-7878
(703) 490-7650
Mailing address
12280 PONDWATER CT, WOODBRIDGE, VA 22192-6620
(703) 703-8198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101040884
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006064043
—
VA
Enumeration date
12/27/2006
Last updated
06/01/2021
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