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NPI Code Detail

MEDICARE: CRAIG WINKLER MD

MEDICARE: CRAIG WINKLER MD
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
1207R00000XInternal Medicine PhysicianMD152299OR

Other Identifiers

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

General Provider Information

NPI Number : 1588625933
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG WINKLER MD
Provider Business Mailing Address
First Line : PO BOX 708850
Second Line :
City : SANDY
State : UT
Zip : 84070-8850
Country : US
Telephone Number : 866-869-2397
Fax Number : 801-352-9502
Provider Business Practice Location Address
First Line : 1460 G ST
Second Line :
City : SPRINGFIELD
State : OR
Zip : 97477-4112
Country : US
Telephone Number : 541-744-8555
Fax Number : 541-744-6150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 07/08/2007

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Directions to “ CRAIG WINKLER MD” Practice Location

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