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Individual

DAVID E WINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 RALSTON AVE, SUITE 104, DEFIANCE, OH 43512-5311
(419) 784-3044
(419) 784-1606
Mailing address
1250 RALSTON AVE, SUITE 104, DEFIANCE, OH 43512-5311
(419) 784-3044
(419) 784-1606

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35069202
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000338204
ANTHEM
OH
01
03154
PHC
OH
05
2039323
OH
01
22-18100
UHC
OH
Enumeration date
08/25/2005
Last updated
11/03/2023
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