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Individual

MARK I WINTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1100 N ABBE RD, STE D, ELYRIA, OH 44035-1667
(440) 365-2502
Mailing address
6200 PLEASANT AVE, STE 3, FAIRFIELD, OH 45014-4671
(513) 829-9333

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002339
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0614937
OH
01
P00267792
RAILROAD MEDICARE
OH
Enumeration date
05/24/2005
Last updated
03/22/2016
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