Individual
MR. MATTHEW WILLIAM WINANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
2717 18TH ST, KENOSHA, WI 53140-4666
(262) 551-5650
Mailing address
6002 94TH CT, KENOSHA, WI 53142-7625
(262) 224-0694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
834039
WI
Other
Enumeration date
03/14/2007
Last updated
03/28/2014
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