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Individual

CRAIG A WINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2200 W KIMBERLY RD, DAVENPORT, IA 52806-5300
(563) 391-1543
(563) 391-9117
Mailing address
4136 KELLING CT, DAVENPORT, IA 52806-4800
(563) 391-2688

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16833
IA
183500000X
Pharmacist
8272
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0047746
IA
Enumeration date
03/23/2007
Last updated
07/08/2007
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