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Organization
MARK R WINKLER MD PA PROFESSIONAL CORPORATION
Active
Organization
MARK R WINKLER MD PA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WINKLER (PRESIDENT)
(818) 882-5375
Entity
Organization
Contact information
Practice address
14366 SHAWNEE ST, MOORPARK, CA 93021-3569
(818) 882-5375
Mailing address
14366 SHAWNEE ST, MOORPARK, CA 93021-3569
(818) 882-5375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G67756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G77560
—
CA
Enumeration date
04/20/2007
Last updated
03/29/2018
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