Individual
DAVID WINTCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3205 W STATE ROAD 45, BLOOMINGTON, IN 47403-5107
(812) 333-8903
Mailing address
4589 JORDAN RD, MARTINSVILLE, IN 46151-6545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027927A
IN
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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