Organization
WINCHESTER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS LENA WINCHESTER (OWNER)
(313) 477-3055
Entity
Organization
Contact information
Practice address
18470 SANTA ANN AVE., LATHRUP VILLAGE, MI 48076-4525
(313) 477-3055
Mailing address
18470 SANTA ANN AVE, LATHRUP VILLAGE, MI 48076-4525
(313) 477-3055
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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