Individual provider · Type 1 NPI

Theodore Crisostomo-Wynne, MD

Urology Physician · Tacoma, WA

NPI number 1316486186 Active

Practice location

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-0001

Mailing address

PO Box 50095
Seattle, WA 98145-5095

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XMD61305294 (WA)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1316486186

Theodore Crisostomo-Wynne, MD's National Provider Identifier is 1316486186, issued on Feb 14, 2017. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Tacoma, WA. The record was last updated on Oct 15, 2026.