Individual
GAIL M WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DE-C1-0005855
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001097101
—
DE
01
—
06-1641497
BLUE CROSS BLUE SHIELD
DE
01
—
179796
COVENTRY
DE
01
—
2015899000
PERSONAL CHOICE
DE
01
—
2947383
AETNA MANAGED CARE
DE
Enumeration date
06/30/2006
Last updated
07/10/2015
Update your record
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