Doctor Name: | AARON THOMAS WYNKOOP |
NPI Number: | 1851659858 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 401 S Ballenger Hwy Orthopaedic Education Flint, MI - 485323638 |
Business Phone Number: | 8103422321 |
Business Fax Number: | 8103422150 |
Mailing Address: | 4465 Riske Drvie, Apt1 FLINT |
State: | MI |
Postal Code: | 485324256 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/26/2012 |
NPI Last Update Date: | 07/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |