NPI 1083840524

Jacob Wynes, DPM

Practitioner Foot Surgery Podiatrist Baltimore, MD

Practice location

Address: 2200 Kernan Drive, Baltimore, MD 21207
Phone: (410) 448-7112

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence O1555 (MD)

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Registry record

NPI: 1083840524
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2009
Record last updated: 14 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.