Individual
JULIET E WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
316 STATION ST, BRIDGEVILLE, PA 15017-1833
(412) 221-1021
Mailing address
316 STATION ST, BRIDGEVILLE, PA 15017-1833
(412) 221-1021
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD073532L
PA
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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