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Contact Information

CARL E WYNE, MD
5770 FASHION BLVD
MURRAY, UT84107-6548
 Phone: 801-314-4544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CARL E WYNE · (Male)

NPI Number 1114947223
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 10/18/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 3114301205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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