Individual
DR. MICHAEL D. WINNIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGY, JACKSON, MS 39216-4500
(601) 984-5630
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5678
(601) 984-5638
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
17665
MS
207RI0011X
Interventional Cardiology Physician
Primary
17665
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125909
—
MS
05
—
126125
—
AL
05
—
1461351
—
LA
01
—
RR 060068580
RAILROAD
MS
Enumeration date
07/08/2006
Last updated
08/26/2014
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