Amanda Winston Md Pllc | |
9244 Lapeer Rd Davison MI 48423-1757 | |
(810) 653-2111 | |
(810) 653-8506 |
Full Name | Amanda Winston Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 9244 Lapeer Rd, Davison, Michigan |
Authorized Official Name and Position | Stacey M Kalisz (OFFICE MANAGER) |
Authorized Official Contact | 8106532111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Amanda Winston Md Pllc 9244 Lapeer Rd Davison MI 48423-1757 Ph: (810) 653-2111 | Amanda Winston Md Pllc 9244 Lapeer Rd Davison MI 48423-1757 Ph: (810) 653-2111 |
NPI Number | 1457862351 |
---|---|
Provider Enumeration Date | 10/18/2017 |
Last Update Date | 10/18/2017 |
Medicare PECOS PAC ID | 1355607292 |
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Medicare Enrollment ID | O20171109002924 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457862351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301103706 (Michigan) | Primary |
Provider Name | Amanda L Winston |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477992360 PECOS PAC ID: 3779715560 Enrollment ID: I20160613002547 |
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