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NPI Code Detail

MEDICARE: PAUL E WINEY PA C

MEDICARE:   PAUL E WINEY  PA 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
1363A00000XPhysician Assistant1008WI

General Provider Information

NPI Number : 1598748212
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL E WINEY PA C
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0002
Country : US
Telephone Number : 608-785-0940
Fax Number :
Provider Business Practice Location Address
First Line : 895 DETTLOFF DR
Second Line :
City : ARCADIA
State : WI
Zip : 54612-2600
Country : US
Telephone Number : 608-785-0940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 03/18/2021

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Directions to “ PAUL E WINEY PA C” Practice Location

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