Healthcare Provider Details

I. General information

NPI: 1841422276
Provider Name (Legal Business Name): MARK WINTERS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2009
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 MAIN ST S
SAUK CENTRE MN
56378-1651
US

IV. Provider business mailing address

1008 MAIN ST S
SAUK CENTRE MN
56378-1651
US

V. Phone/Fax

Practice location:
  • Phone: 320-202-0284
  • Fax:
Mailing address:
  • Phone: 320-202-0284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5270
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: