Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Wynne, MD

Individual provider Radiation Oncology Physician · NPI 1508325861

Jacob Wynne, MD is a Radiation Oncology in Milwaukee, Wisconsin. Graduated from Emory University School of Medicine in 2019, 7 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Trained at
Emory University School of Medicine
Licensed in
WI
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9200 W Wisconsin Ave Radiation Oncology
Milwaukee, WI 53226-3522
Phone: (414) 805-4400
Fax: (414) 805-4369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 — (414) 805-0505

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 86587-020 (WI)

Record details

NPI number1508325861
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2019
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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