MEDICARE: MARIE E WINEINGER AUD

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
1	231H00000X	Audiologist	AUD.0000491	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245412253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE E WINEINGER AUD

Provider Business Mailing Address
First Line	:	4900 S MONACO ST
Second Line	:	SUITE 210
City	:	DENVER
State	:	CO
Zip	:	80237-3486
Country	:	US
Telephone Number	:	303-750-8600
Fax Number	:	303-743-7800

Provider Business Practice Location Address
First Line	:	1400 S POTOMAC ST
Second Line	:	SUITE 240
City	:	AURORA
State	:	CO
Zip	:	80012-4541
Country	:	US
Telephone Number	:	303-750-8600
Fax Number	:	303-743-7800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	11/27/2023

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Directions to “ MARIE E WINEINGER AUD” Practice Location

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