MICHAEL L WYNN I


Address: 1655 Liberty St Se, Salem, OR 97302-4347
Phone: 5035817959

MICHAEL L WYNN I (NPI# 1750332516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750332516
Entity Type Individual
Full Name MICHAEL L WYNN I
Credential D.O.
Practice Address 1655 Liberty St Se
Salem
OR 97302-4347
Practice Telephone 5035817959
Practice Fax Number 5033624114
Mailing Telephone 5035817959
Mailing Fax Number 5033624114
Enumeration Date 2006-05-15
Last Update Date 2016-06-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
DO15695 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 203505 05

Other Providers MICHAEL WYNN

NPI Name Taxonomy Address Enumeration
1912344516 Michael Wynn Dentist 2820 E 57th Pl, Tulsa, OK 74105-7408 2013-05-23
1285683995 Michael Minh Wynn Dentist 408 S Beach Blvd Ste 210, Anaheim, CA 92804-1887 2006-05-09
1013919471 Michael Hanlon Wynn Podiatrist 23972a Highway 59 N, Kingwood, TX 77339-1535 2005-08-15
1689778722 Michael Preston Wynn Family Medicine 10625 W Parmer Ln, D400, Austin, TX 78717-4007 2006-09-11
1285673996 Michael Lee Wynn Surgery 5601 Norris Canyon Rd, Ste 100, San Ramon, CA 94583-5407 2006-06-06

Office Location

Street Address 1655 LIBERTY ST SE
City SALEM
State OR
Zip Code 97302-4347

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396304291 Kira Mariah Biron Registered Nurse 1655 Liberty St Se, Salem, OR 97302-4347 2019-06-13
1639491525 Robert Arthur Lee Dentist 1655 Liberty St Se, Salem, OR 97302-4347 2010-02-19
1629285143 Liberty Dental Care PC Dentist 1655 Liberty St Se, Salem, OR 97302-4347 2007-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
Find all providers in zip 97302

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104025634 Thye Matthew Schuyler Psychiatry & Neurology Salem Health Sleep Center, 875 Oak St Se, Bldg C, Suite 3060, Salem, OR 97301-3975 2007-07-14
1124193727 Donna Marie Capin Psychiatry & Neurology North Shore Children's Hospital, 57 Highland Ave, Salem, MA 01970 2006-11-21
1013944016 Benton John Davidson Psychiatry & Neurology 1174 Cornucopia St Nw, Suite 240, Salem, OR 97304-3193 2006-06-26
1962447730 Keifong William Seeto Psychiatry & Neurology 960 Liberty St Se, Suite 140, Salem, OR 97302-4165 2006-06-17
1033183249 Valley Neurology Associates PC Psychiatry & Neurology 1904 Braeburn Dr, Salem, VA 24153 2006-02-14
1689648883 Howard B Sherman Psychiatry & Neurology 1942 Braeburn Cir, Salem, VA 24153-7388 2006-02-14
1447247630 James A Whitlock Psychiatry & Neurology 70 Butler St, Salem, NH 03079-3925 2005-10-03
1669470670 Kenten D Woolhiser Psychiatry & Neurology 966 12th St Se, Salem, OR 97302-2859 2005-07-13
1770997009 Urooba Faheem Psychiatry & Neurology 875 Oak St Se, Salem, OR 97301-3975 2014-06-14
1548515737 Syed Omar Yousuf Kazmi Psychiatry & Neurology 890 Oak St Se, Salem, OR 97301-3905 2012-07-13
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97302

Improve Information

Please comment or provide details below to improve the information on MICHAEL L WYNN I.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches