Healthcare Provider Details

I. General information

NPI: 1922186626
Provider Name (Legal Business Name): THE WINKLEY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 S MAIN ST
RICE LAKE WI
54868-2828
US

IV. Provider business mailing address

740 DOUGLAS DR N
GOLDEN VALLEY MN
55422-4301
US

V. Phone/Fax

Practice location:
  • Phone: 715-234-6622
  • Fax: 715-234-7879
Mailing address:
  • Phone: 763-546-1177
  • Fax: 763-847-9508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberNONE
License Number State

VIII. Authorized Official

Name: MR. ALEXANDER PETER GRUMAN
Title or Position: PRESIDENT
Credential: CO
Phone: 763-546-1177