Individual
DR. MICHAEL ALLEN VAN WINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3676
(330) 480-7979
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3676
(330) 480-7979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.011870
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122991
—
OH
01
—
H363680
MEDICARE PTAN
OH
Enumeration date
08/16/2011
Last updated
02/06/2017
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