Bunn, Wiley Douglas
Bunn, Wiley Douglas is an individual health care provider with primary practice located at 475 Irving Avenue Suite 204, Syracuse NY 13210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Bunn, Wiley Douglas can be contacted via phone (315) 634-4112.Contact Information
Primary practice address
475 Irving Avenue Suite 204
Syracuse NY 13210
Phone: (315) 634-4112
Fax: (315) 634-4117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 200121 | New York |
Profile Details
| NPI number | 1902982473 |
|---|---|
| LBN Legal business name | Bunn, Wiley Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jan 17th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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