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NPI Code Detail

MEDICARE: MRS. LINDA J WINNINGHAM M.S. R.D.

MEDICARE: MRS. LINDA J WINNINGHAM M.S. R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian00426925MI

General Provider Information

NPI Number : 1164466199
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA J WINNINGHAM M.S. R.D.
Provider Business Mailing Address
First Line : 82 TOBICO BCH
Second Line :
City : BAY CITY
State : MI
Zip : 48706-1197
Country : US
Telephone Number : 734-276-5099
Fax Number :
Provider Business Practice Location Address
First Line : 1270 DORIS RD
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2617
Country : US
Telephone Number : 248-276-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 10/16/2018

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