| Wynn Innovations Llc | |
|
1621 Shelter Cove Dr Greenwood CA 95635-9509 | |
| (916) 996-6377 | |
| Not Available |
| Full Name | Wynn Innovations Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1621 Shelter Cove Dr, Greenwood, California |
| Authorized Official Name and Position | Benjamin Wynn (OWNER) |
| Authorized Official Contact | 9169966377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wynn Innovations Llc 1621 Shelter Cove Dr Greenwood CA 95635-9509 Ph: (916) 996-6377 | Wynn Innovations Llc 1621 Shelter Cove Dr Greenwood CA 95635-9509 Ph: (916) 996-6377 |
| NPI Number | 1043928948 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043928948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |