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
Phone: (616) 396-2972
Fax: (616) 396-2808
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073537403 | NPPES |
Michigan | Other | TW060023 | BCBS |
Michigan | Other | 930017975 | BCBS |
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