THEODORE CRISOSTOMO-WYNNE MD
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1316486186- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA, 984310001
- Phone
- (253) 968-1110
Specialties & Taxonomies
Urology
Primary License: WA #MD61305294
All Addresses
MAILING
PO BOX 50095
SEATTLE, WA, 981455095