Individual
CAROL DIANE WINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
402 W MORROW RD, SAND SPRINGS, OK 74063-6549
(918) 295-1328
(918) 403-6313
Mailing address
402 W MORROW RD, SAND SPRINGS, OK 74063-6549
(918) 295-1328
(918) 403-6313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1147
NE
363A00000X
Physician Assistant
Primary
1455
OK
Other
Enumeration date
10/24/2006
Last updated
04/09/2019
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