Wynne, Jacob Frank

Wynne, Jacob Frank is an individual health care provider with primary practice located at 960 S Columbia Rd , Grand Forks ND 58201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Wynne, Jacob Frank can be contacted via phone (701) 780-5400.

Contact Information

Primary practice address
960 S Columbia Rd Grand Forks ND 58201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 20929 North Dakota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11037 Georgia

Profile Details

NPI number 1508325861
LBN Legal business name Wynne, Jacob Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2019
Last updated Jul 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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