Individual
JOEL GREGORY WINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2595 CANYON BLVD, SUITE 100, BOULDER, CO 80302-6745
(720) 920-9174
(720) 920-9307
Mailing address
2595 CANYON BLVD, SUITE 100, BOULDER, CO 80302-6745
(720) 920-9174
(720) 920-9307
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
13772
HI
2084P0800X
Psychiatry Physician
47729
CO
2084P0800X
Psychiatry Physician
Primary
50740
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
05/21/2007
Last updated
07/21/2009
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