Shawn W Wynn is a Sports Medicine in Moline, Illinois. Shawn W Wynn practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Shawn W Wynn is 1205990843. The last update date is 2011-03-18.
Shawn W Wynn's current location address is 520 Valley View Dr, Moline, Illinois. You can contact this provider via phone number 3097623621 and fax number 3097623690. The mailing address for Shawn W Wynn is 520 Valley View Dr, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shawn W Wynn |
---|---|
Address | 520 Valley View Dr, Moline, Illinois |
Phone Number | 3097623621 |
Fax Number | 3097623690 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1205990843 |
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Provider Enumeration Date | 2006-12-20 |
Last Updated Date | 2011-03-18 |
Provider Mailing Address Detail
Address | 520 Valley View Dr |
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City | Moline |
State | Illinois (IL) |
Post Code | 612656194 |
Phone Number | 3097623621 |
Fax Number | 3097623690 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Xx0005X |
Licence No | 36116081 |
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
55218 | IA | WELLMARK | |
1205990843 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shawn W Wynn by the Centers for Medicare & Medicaid Services?
The Shawn W Wynn has been assigned the NPI (National Provider Identifier) 1205990843 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Shawn W Wynn?
The Shawn W Wynn is physically situated at 520 Valley View Dr, in the city of Moline, state of IL, with the postal code 612656194.
What is Shawn W Wynn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shawn W Wynn is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Xx0005X.
When did the Shawn W Wynn receive its 1205990843?
The Shawn W Wynn was issued its 1205990843 on 2006-12-20, which is the date when the organization was assigned this unique identifier.
When was the information regarding Shawn W Wynn most recently updated?
The details pertaining to the Shawn W Wynn, including its address, specialty, and other relevant information, were last refreshed on 2011-03-18.
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