Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 291304 | NY |
N | 207P00000X | Emergency Physician | A134748 | CA |
Y | 207P00000X | Emergency Physician | D81855 | MD |
NPI | 1013359322 |
---|---|
Provider Name | Dr. Wynne Breed |
First Address | Baltimore, MD 21236-4902 |
Second Address | Columbia, MD 21044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2013 |
Last Update Date | 30/07/2018 |