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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 1164914834 | NPPES |
| Indiana | Other | 264430H73 | MEDICARE PTAN |
| Indiana | MEDICAID | 300075533 | MEDICARE PTAN |
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