Individual
JEFFREY P WINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1165 DALLAS RD, FALLBROOK, CA 92028-3680
(559) 573-2845
Mailing address
1165 DALLAS RD, FALLBROOK, CA 92028-3680
(559) 573-2845
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036120884
IL
207W00000X
Ophthalmology Physician
2008014399
MO
207W00000X
Ophthalmology Physician
50258-020
WI
207W00000X
Ophthalmology Physician
Primary
G46812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G468120
—
CA
Enumeration date
05/31/2005
Last updated
10/12/2016
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