DR. Chester M Wynn, M.D. is a general practice in Magnolia, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee DR. Chester M Wynn, M.D. NPI is 1699949826. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
118 W STADIUM
MAGNOLIA, AR
ZIP 71753
Phone: (870) 234-6191
The NPI 1699949826 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 04D0880610 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 4/18/2008 and was last updated on 4/18/2017.