Wyn, Tod

Wyn, Tod is an individual health care provider with primary practice located at 270 Hoover Blvd , Holland MI 49423-3719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Wyn, Tod can be contacted via phone (616) 396-2972.

Contact Information

Primary practice address
270 Hoover Blvd Holland MI 49423-3719
Fax: (616) 396-2808
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301060023 Michigan
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207PH0002X 4301060023 Michigan

Profile Details

NPI number 1073537403
LBN Legal business name Wyn, Tod
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 19th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073537403 NPPES
Michigan Other TW060023 BCBS
Michigan Other 930017975 BCBS

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