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Brian James Wynalda, PA-C
Surgical Physician Assistant in Geneva, Illinois
NPI 1245991108

Brian James Wynalda is a Surgical Physician Assistant based in Pingree Grove, IL and is specialized in Surgical. Brian James Wynalda practices in Geneva, IL and has the professional credentials of PA-C. The NPI Number for Brian James Wynalda is 1245991108 and holds a License No. (Illinois).

The current practice location address for Brian James Wynalda is 2525 Kaneville Rd, Geneva, IL and can be reached out via phone at 630-584-1400.

Location: 2525 Kaneville Rd, Geneva, IL, 60140-6001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245991108
Provider Name
Brian James Wynalda
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2525 Kaneville Rd, Geneva, IL, 60140-6001
Phone Number
630-584-1400
Fax Number
Provider Enumeration Date
01/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2525 Kaneville Rd
City
Geneva
State
Illinois
Zip
60134-2578
Phone Number
630-584-1400
Fax Number
person
Provider Business Mailing Address Details
Address
2525 Kaneville Rd
City
Geneva
State
Illinois
Zip
60134-2578
Phone Number
630-584-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
(Illinois)
Definition
Definition to come...
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