Individual
MARY KAY WINARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
W180N7950 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4049
(262) 255-2500
Mailing address
W180N7950 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4049
(262) 255-2500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
74780
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43935300
—
WI
Enumeration date
04/25/2006
Last updated
10/05/2010
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