Individual
DR. WENDELL J HYINK
Active
Individual
DR. WENDELL J HYINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301037510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050A111210
GROUP BCBS PIN
MI
01
—
0M30900
MEDICARE GROUP PTAN
MI
01
—
1356370241
GROUP NPI
MI
05
—
1831143262
—
MI
01
—
M30900008
MEDICARE INDIVIDUAL PTAN
MI
01
—
WH037510
INDIVIDUAL BCBS LICENSE NUMBER
MI
Enumeration date
05/20/2006
Last updated
08/12/2008
Update your record
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