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Individual

DAVID HENRY WINSLOW JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3430 NEWBURG RD, SUITE 150, LOUISVILLE, KY 40218-2497
(502) 459-9127
(502) 459-2156
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17414
KY
207RP1001X
Pulmonary Disease Physician
Primary
17414
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
17414
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110033037
RR MEDICARE
KY
01
200003750
INDIANA MEDICAID
IN
Enumeration date
10/05/2006
Last updated
10/06/2021
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