National Provider Identifier Database

JACOB WYNNE, MD – NPI #1508325861
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

JACOB WYNNE, MD
9200 W WISCONSIN AVE
RADIATION ONCOLOGY
MILWAUKEE, WI53226-3522
Phone: 414-805-4400
Fax: 414-805-4369
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for JACOB WYNNE

NPI Number 1508325861
Credentials MD
Entity Individual
Enumeration date 03/17/2019
Last updated 02/23/2026 - About 3 months ago
Sole proprietor1 No
Identifiers
  • WI License #: 86587-020
  • WI Medicaid: 100393881
Hospital affiliation n/a

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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