MEDICARE: JOHN WINDZIGL PA

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
1	363A00000X	Physician Assistant	50000423	OH

General Provider Information

NPI Number	:	1952456717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN WINDZIGL PA

Provider Business Mailing Address
First Line	:	5350 FRANTZ RD
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-4259
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 WELCOME PLACE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209
Country	:	US
Telephone Number	:	614-338-8833
Fax Number	:	614-338-8735

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	12/30/2010

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