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Individual

WINONA STOLTZFUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 SAN MATEO BLVD NE STE 902, ALBUQUERQUE, NM 87108-1507
(505) 222-8684
(505) 222-8675
Mailing address
300 SAN MATEO BLVD NE STE 902, ALBUQUERQUE, NM 87108-1507
(505) 222-8684
(505) 222-8675

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2001-110
NM
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
2001-110
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
F2345
NM
Enumeration date
02/23/2006
Last updated
02/18/2014
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