Shawn W Wynn
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
520 Valley View Dr
Moline
, Illinois 61265-6194
Shawn W Wynn
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
520 Valley View Dr
Moline
, Illinois 61265-6194
(309) 762-3690
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Shawn W Wynn
- 520 Valley View Dr
- Moline, IL
- Zip : 61265-6194
- Fax : (309) 762-3690
- Phone : (309) 762-3621
Second Address
- Shawn W Wynn
- 520 Valley View Dr
- Moline, IL
- Zip : 61265-6194
- Fax : (309) 762-3690
- Phone : (309) 762-3621
Reviews
FAQs
Where did Shawn W Wynn attend graduate school?
Where did Shawn W Wynn do his residency?
Where did Shawn W Wynn do his fellowship?
Is Shawn W Wynn board certified?
What type of doctor is Shawn W Wynn
In what state does Shawn W Wynn practice in?
Where is Shawn W Wynn ’s practice located?
What is Shawn W Wynn ’s gender?
Is Shawn W Wynn a sole practitioner?
Is Shawn W Wynn accepting new patients?
What languages does Shawn W Wynn speak?
Does Shawn W Wynn accept insurance?
Does Shawn W Wynn offers telemedicine?
What is Shawn W Wynn ’s professional license number?
What is Shawn W Wynn ’s NPI number?
Does Shawn W Wynn have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 036116081 | IL |
| N | 207X00000X | Orthopaedic Surgeon | 37086 | IA |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 036116081 | IL |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 37086 | IA |
National Provider Identifier
| NPI | 1205990843 |
|---|---|
| Provider Name | Shawn W Wynn |
| First Address | Moline, IL 61265-6194 |
| Second Address | Moline, IL 61265-6194 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 18/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1205990843 | (05) | IA |
| 55218 | WELLMARK (01) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.