Individual
JENNIFER ANN WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 MADISON AVE, FORT ATKINSON, WI 53538-3100
(920) 563-5500
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 563-4466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-049195
IL
207R00000X
Internal Medicine Physician
Primary
52532-20
WI
208000000X
Pediatrics Physician
125-049195
IL
208000000X
Pediatrics Physician
53532-20
WI
Other
Enumeration date
06/07/2007
Last updated
10/07/2022
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