Male or Other

Jacob Wynes DPM

Foot Surgery Podiatrist in Baltimore, MD(View on Map)

Full Name

Jacob Wynes DPM

NPI Number

1083840524

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/10/2009

Specialties

(Taxonomies)

Code

213ES0131X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

O1555

Contact
Information

Purpose

Mailing
Location

Address

2200 KERNAN DRIVE
2200 KERNAN DRIVE

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21207
21207

Country

US
US

Telephone Number

(410) 448-7112
(410) 448-7112

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/14/2019

Provider Address

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