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Contact Information

JACOB WYNES, DPM
2200 KERNAN DRIVE
BALTIMORE, MD21207
 Phone: 410-448-7112
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JACOB WYNES · (Male)

NPI # 1083840524
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/10/2009
Last updated 03/14/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MD License # O1555
Hospital affiliation(s)
  • MARYLAND GENERAL HOSPITAL - (Acute Care)
    827 LINDEN AVENUE
    BALTIMORE, MD 21201
  • UNIVERSITY OF MARYLAND MEDICAL CENTER - (Acute Care)
    22 SOUTH GREENE STREET
    BALTIMORE, MD 21201
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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