Individual
WYNNE E MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34TH STREET & CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4399
(215) 590-1858
(215) 590-5574
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD425705
PA
208000000X
Pediatrics Physician
MD425705
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD425705
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089122EMD
MEDICARE PTAN
PA
05
—
1012017300
—
PA
Enumeration date
08/15/2006
Last updated
04/11/2013
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