Individual
BLAINE MICHAEL WINTERTON
Active
Individual
BLAINE MICHAEL WINTERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019021801
MO
207RP1001X
Pulmonary Disease Physician
2022021013
MO
207RP1001X
Pulmonary Disease Physician
Primary
E-19090
AR
Other
Enumeration date
06/28/2019
Last updated
07/30/2025
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