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NPI Code Detail

MEDICARE: DR. MARIA-ANTONIA WINEMILLER

MEDICARE: DR. MARIA-ANTONIA WINEMILLER
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
11223G0001XGeneral Practice Dentistry2010022548MO

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 : 1770897035
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA-ANTONIA WINEMILLER
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 660-885-8131
Fax Number :
Provider Business Practice Location Address
First Line : 19515 BRUNE PKWY
Second Line :
City : WARRENTON
State : MO
Zip : 63383-6505
Country : US
Telephone Number : 636-456-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2010
Last Update Date : 03/20/2018

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Directions to “ DR. MARIA-ANTONIA WINEMILLER ” Practice Location

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