Individual
JAY A WINZENRIED
Active
Individual
JAY A WINZENRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6422A
WY
332B00000X
Durable Medical Equipment & Medical Supplies
4931310001
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065059
—
MT
05
—
115812100
—
WY
01
—
115812101
MEDICAID DME
WY
01
—
312326
BLUE CROSS BLUE SHEILD
WY
01
—
486921300
FEDERAL WORK COMP
WY
01
—
4931310001
DMERC
WY
01
—
P00096957
RAILROAD MEDICARE
WY
Enumeration date
10/20/2005
Last updated
08/03/2010
Update your record
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