Individual
ALAN G WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3520 SW 6TH AVE, TOPEKA, KS 66606-2806
(785) 368-9591
(785) 354-0542
Mailing address
3520 SW 6TH AVE, TOPEKA, KS 66606-2806
(785) 368-9591
(785) 354-0542
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
04-23904
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067054
MEDICARE PTAN
KS
05
—
100130070B
—
KS
Enumeration date
10/16/2006
Last updated
12/01/2025
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