Individual
DOUG P. WYNEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
65 E GARNER RD STE 100, BROWNSBURG, IN 46112-7867
(317) 852-7600
(317) 852-7676
Mailing address
496 COBBLESTONE PL, AVON, IN 46123-9422
(317) 718-7155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006312A
IN
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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