NIKKI MO WYNN

FORT WAYNE, IN
NPI1184979882
Former NameNANG MO KHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IN  01081038A)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IN  01081038A)
Enumeration Date2012-07-18
Last Update Date2020-09-30
Business Address
NIKKI MO WYNN M.D.
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
Mailing Address
NIKKI MO WYNN M.D.
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514