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General NPI Number Information
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NPI Number | 1194817072
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Entity Type | Individual
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Provider Name | ROBERT D WINSTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3960 COON RAPIDS BLVD SUITE 311
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City | COON RAPIDS
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State | MN
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Zip | 55433
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Country | US
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Telephone | 763-236-9090
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Fax | 763-236-9089
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Provider Business Mailing Address
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Address Line | 3435 WEST BROADWAY SUITE 1065
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City | ROBBINSDALE
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State | MN
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Zip | 55422
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Country | US
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Telephone | 763-520-1137
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Fax | 763-520-1976
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 33849
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License Number State | MN
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