Individual
DOUGLAS WINZENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
3921 LOCKPORT ST, BISMARCK, ND 58503-5541
(701) 751-3128
Mailing address
3509 MERIDIAN DR, BISMARCK, ND 58504-8533
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
2496
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2017
Last updated
06/21/2021
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