Wynne, Marisa Marie
Wynne, Marisa Marie is an individual health care provider with primary practice located at 1934 Niles Cortland Rd Ne Ste B , Warren OH 44484-1055. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Wynne, Marisa Marie can be contacted via phone (330) 841-4032.Contact Information
Primary practice address
1934 Niles Cortland Rd Ne Ste B
Warren OH 44484-1055
Phone: (330) 841-4032
Fax: (330) 841-4381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34.009421 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 34.009421 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 34.009421 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 34.009421 | Ohio |
Profile Details
| NPI number | 1346422615 |
|---|---|
| LBN Legal business name | Wynne, Marisa Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2007 |
| Last updated | May 3rd, 2018 - about 6 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 | 1346422615 | NPPES |
| Ohio | MEDICAID | 0082233 |
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