Wynn, Malynda Suzanne

Wynn, Malynda Suzanne is an individual health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. She recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is her primary health care specialty. Wynn, Malynda Suzanne can be contacted via phone (317) 944-9400.

Contact Information

Primary practice address
1701 N Senate Blvd Indianapolis IN 46202-1239
Phone: (317) 944-9400
Fax: (317) 963-1955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01090037A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R-11213 Iowa
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X R-11213 Iowa
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X R-11213 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X R-11213 Iowa
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X R-11213 Iowa
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X R-11213 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X R-11213 Iowa
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X R-11213 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 01090037A Indiana

Profile Details

NPI number 1164914834
LBN Legal business name Wynn, Malynda Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2018
Last updated Nov 22nd, 2023 - about 2 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 1164914834 NPPES
Indiana Other 264430H73 MEDICARE PTAN
Indiana MEDICAID 300075533 MEDICARE PTAN

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