MEDICARE: R. DENNIS WINKEL M.D., P.C.

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
1	207Q00000X	Family Medicine Physician	4140	MT

General Provider Information

NPI Number	:	1215968656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R. DENNIS WINKEL M.D., P.C.

Provider Business Mailing Address
First Line	:	1250 BURNS WAY
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3134
Country	:	US
Telephone Number	:	406-752-8877
Fax Number	:	406-756-3245

Provider Business Practice Location Address
First Line	:	1250 BURNS WAY
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3134
Country	:	US
Telephone Number	:	406-752-8877
Fax Number	:	406-756-3245

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MICHELLE GIBBONS
Credential	:
Telephone Number	:	406-752-8877

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	08/22/2020

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