Organization
WINTERSTEEN FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WINTERSTEEN DPM (OWNER)
(717) 567-9100
Entity
Organization
Contact information
Practice address
36 RED HILL CT, NEWPORT, PA 17074-8706
(171) 756-7910
Mailing address
36 RED HILL CT, NEWPORT, PA 17074-8706
(171) 756-7910
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10938906
CAQH
—
Enumeration date
09/20/2018
Last updated
09/20/2018
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