NPI 1750749826
Shawn Michael Wynn
Practice location
- Address
- 210 W Walnut St, Canton, IL 61520
- Phone
- (309) 647-5240
- Mailing address
- 210 W Walnut St, Canton, IL 61520-2444
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1750749826
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Feb 2016
- Record last updated
- 13 Aug 2018
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.