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Individual

DR. BRUCE ALLEN WINEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
M636 GALVIN AVE, STRATFORD, WI 54484-9518
(715) 687-4741
Mailing address
M636 GALVIN AVE, STRATFORD, WI 54484-9518
(715) 687-4741

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21541-21
WI
207V00000X
Obstetrics & Gynecology Physician
34367
MO

Other

Enumeration date
03/02/2012
Last updated
03/02/2012
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