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NPI Code Detail

MEDICARE: MRS. JULIE D WINKLER P.A.

MEDICARE: MRS. JULIE D WINKLER P.A.
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
1363AM0700XMedical Physician AssistantC0002471MD

General Provider Information

NPI Number : 1407816572
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE D WINKLER P.A.
Provider Business Mailing Address
First Line : 16 N LA PLATA CT
Second Line : PO BOX 2188
City : LA PLATA
State : MD
Zip : 20646-4283
Country : US
Telephone Number : 301-392-3330
Fax Number : 301-392-3950
Provider Business Practice Location Address
First Line : 16 N LA PLATA CT
Second Line :
City : LA PLATA
State : MD
Zip : 20646-4283
Country : US
Telephone Number : 301-392-3330
Fax Number : 301-392-3950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 11/17/2009

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