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NPI Code Detail

MEDICARE: JERRY M WINKLER M.D.

MEDICARE: JERRY M WINKLER M.D.
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
1207RH0003XHematology & Oncology Physician43861-020WI
2207RH0003XHematology & Oncology Physician4301089576MI
3207RH0003XHematology & Oncology Physician036171081IL
42081H0002XHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician43861-020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851365910
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY M WINKLER M.D.
Provider Business Mailing Address
First Line : 1726 SHAWANO AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-3216
Country : US
Telephone Number : 920-884-3135
Fax Number : 920-884-3144
Provider Business Practice Location Address
First Line : 1726 SHAWANO AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-3216
Country : US
Telephone Number : 920-884-3135
Fax Number : 920-884-3144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 01/06/2025

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