Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL EDWARD WYNE, MD
Active Sole ProprietorCARL EDWARD WYNE, MD is a Geriatric Medicine healthcare provider located in MURRAY, Utah. NPI 1114947223 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · MURRAY, UT
Registration Details
- NPI Number
- 1114947223
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2006 (20.085921293086 yrs)
- Last Updated
- Oct 18, 2007
- License
-
3114301205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5770 FASHION BLVDMURRAY, UT, 841076548Browse UT providers · Browse ZIP 84107
- Phone
- 8013144544
- Primary Specialty
-
Geriatric Medicine
207QG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.