Individual
BRUCE DAVID WINANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1033 MURDOCH AVE, PARKERSBURG, WV 26101-4330
(304) 485-3831
(304) 485-3861
Mailing address
1033 MURDOCH AVE, PARKERSBURG, WV 26101-4330
(304) 485-3831
(304) 485-3861
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00176
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720261
MOUNTAIN STATE BC/BS
WV
05
—
0100230000
—
WV
05
—
0468891
—
OH
01
—
461472
ANTHEM BC MEDICARE SUPP
—
01
—
4864260001
DMERC
—
01
—
55062331100
WORKERS COMPENSATION
OH
01
—
6938659002
CIGNA INSURANCE
—
Enumeration date
07/23/2006
Last updated
07/08/2007
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