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Individual
DR. MYRON SHELDON WINER
Active
Individual
DR. MYRON SHELDON WINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
IL019-10332
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL019-10332
STATE LICENSE NUMBER
IL
Enumeration date
05/14/2007
Last updated
07/08/2007
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