Healthcare Provider Details

I. General information

NPI: 1417026741
Provider Name (Legal Business Name): DR. WINDER & ASSOCIATES,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 MONROE ST STE A9
SYLVANIA OH
43560-2263
US

IV. Provider business mailing address

5800 MONROE ST STE A9
SYLVANIA OH
43560-2263
US

V. Phone/Fax

Practice location:
  • Phone: 419-885-5755
  • Fax:
Mailing address:
  • Phone: 419-885-5755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number35-04-1807-W
License Number StateOH

VIII. Authorized Official

Name: LINDA S BAKER
Title or Position: OFFICE MANAGER
Credential:
Phone: 419-885-5754