Individual
MR. MICHAEL H WINIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW , LCSW
Contact information
Practice address
477 S NICOLET ROAD, APPLETON, ID 54914-8270
(920) 882-6610
(920) 882-6611
Mailing address
477 S NICOLET ROAD, APPLETON, ID 54914-8270
(920) 882-6610
(920) 882-6611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6699 123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40920800
—
WI
Enumeration date
01/22/2007
Last updated
06/10/2021
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