Individual
AARON THOMAS WYNKOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 MEDICAL PARK DR, HARTSVILLE, SC 29550-4765
(843) 383-3742
Mailing address
4465 RISKE DRVIE, APT1, FLINT, MI 48532-4256
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
82439
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2012
Last updated
07/22/2019
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