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Organization
SHAWN R WINNICK M D INC
Active
Organization
SHAWN R WINNICK M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN R WINNICK M D (PRESIDENT)
(909) 985-2112
Entity
Organization
Contact information
Practice address
900 E WASHINGTON ST STE 155, COLTON, CA 92324-4196
(909) 370-2190
Mailing address
PO BOX 148, CLAREMONT, CA 91711-0148
(909) 985-2112
(909) 985-3411
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A82311
CA
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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