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NPI Code Detail

MEDICARE: DR. ROBERT EDWARD WINANS DO

MEDICARE: DR. ROBERT EDWARD WINANS DO
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
1207QG0300XGeriatric Medicine (Family Medicine) Physician23377CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528175890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT EDWARD WINANS DO
Provider Business Mailing Address
First Line : PO BOX 909
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80901-0909
Country : US
Telephone Number : 719-576-4171
Fax Number : 719-592-1645
Provider Business Practice Location Address
First Line : 1719 E BIJOU ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5736
Country : US
Telephone Number : 719-596-5665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT EDWARD WINANS DO” Practice Location

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