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NPI Code Detail

MEDICARE: HEIDI LEE WINTERMOTE D.O.

MEDICARE: HEIDI LEE WINTERMOTE D.O.
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
1207Q00000XFamily Medicine Physician2301IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3560910083OTHERIAMEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
202301OTHERIASTATE LICENSE

General Provider Information

NPI Number : 1952382384
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI LEE WINTERMOTE D.O.
Provider Business Mailing Address
First Line : 404 E 2ND ST
Second Line :
City : PRAIRIE CITY
State : IA
Zip : 50228-8829
Country : US
Telephone Number : 515-994-2617
Fax Number : 515-994-2365
Provider Business Practice Location Address
First Line : 404 E 2ND ST
Second Line :
City : PRAIRIE CITY
State : IA
Zip : 50228-8829
Country : US
Telephone Number : 515-994-2617
Fax Number : 515-994-2365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2005
Last Update Date : 02/07/2022

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Directions to “ HEIDI LEE WINTERMOTE D.O.” Practice Location

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