RAYMOND B WYNN, MD, Radiation Oncology ERIE, PA

Contact Information

RAYMOND B WYNN, MD

2500 WEST 12TH STREET
UPMC REGIONAL CANCER CENTER
ERIE, PA 16505

Phone: 708-635-9133
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for RAYMOND B WYNN · (Male)

NPI #	`1548216195`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	05/25/2006
Last updated	08/07/2020 - About 6 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 036142602 PA License # MD438611 AL Medicaid 009934193 FL Medicaid 276857700 MS Medicaid 00118037 PA Medicaid 1023982380001 AL Other 51593896 BCBS - 1660 SPRINGHILL AL Other 051542649 BCBS - ONE INFIRMARY CIRCLE AL Other 51531394 BLUE CROSS AL Other 3600240 UNITED HEALTH CARE PA Other 2117379 HIGHMARK
Hospital affiliation(s)	SAINT FRANCIS MEDICAL CENTER - (Acute Care) 530 NE GLEN OAK AVE PEORIA, IL 61637

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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RAYMOND B WYNN, MD – NPI #1548216195Radiation Oncology

Contact Information

Specialty

Radiation Oncology

NPI Profile & details for RAYMOND B WYNN · (Male)

Reviews for RAYMOND B WYNN

RAYMOND B WYNN, MD – NPI #1548216195
Radiation Oncology