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Donraphael Wynn, M.D. — NPI 1396188751, Boise, ID | NPI Central

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NPI 1396188751

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Donraphael Wynn, M.D.

NPI 1396188751 · Neurology Physician · Boise, ID

Provider details

NPI number: 1396188751
Entity type: Individual
Primary specialty: Neurology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 9164199-1205 (UT)

Practice location

1072 N Liberty St

Ste 303

Boise, ID 83704

Phone: (208) 302-4200

Fax: (208) 302-4255

More ID providers

Mailing address

3340 E Goldstone Way

Meridian, ID 83642

Registry dates

Enumerated: 2013-04-16
Last updated: 2025-11-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.