Individual
BORIS JAN NILS WINTERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 626-6283
Mailing address
420 DELAWARE ST SE, MMC 395 MAYO 8395C, MINNEAPOLIS, MN 55455-0341
(612) 626-6283
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
51460
MN
207VX0201X
Gynecologic Oncology Physician
Primary
51460
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
04/02/2007
Last updated
01/15/2015
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