David Wyncott MD

NPI 1194046250 - Family Medicine - 207Q00000X

NPI Details
NPI 1194046250
Gender Male
Enumeration Date 06/11/2010
Last Updated 12/04/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
611 E DOUGLAS RD
SUITE 407
MISHAWAKA IN, 46545-1464, US
Phone (574) 335-6500
Fax
Business Location
611 E DOUGLAS RD
SUITE 407
MISHAWAKA IN, 46545-1464, US
Phone (574) 335-6550
Fax (574) 335-0791
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01070512A
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According to our database, David Wyncott MD NPI is 1194046250, taxonomy code is 207Q00000X and license number is 01070512A, license state is located at Indiana. David Wyncott MD physically located at 611 E Douglas Rd, Mishawaka IN, 46545-1464. NPI Number David Wyncott MD has the Individual type.

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1194046250 NPI number is provided on an as is basis without warranty of any kind. 1194046250 is maintained by the National Plan & Provider Enumeration System. The contents of David Wyncott MD are for informational purposes only.