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1245991108
BRIAN JAMES WYNALDA
GENEVA, IL
NPI
1245991108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2022-01-04
Last Update Date
2022-01-04
Business Address
BRIAN JAMES WYNALDA PA-C
2525 KANEVILLE RD
GENEVA, IL 60134-2578
Phone number: 630-584-1400
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Mailing Address
BRIAN JAMES WYNALDA PA-C
2333 UPLAND RD
PINGREE GROVE, IL 60140-6001
Phone number: 616-745-6049
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