Individual
DR. MICHAEL LEO WINZENREAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16400 N MAY AVE, EDMOND, OK 73013-8971
(405) 471-6800
(405) 471-6811
Mailing address
16400 N MAY AVE, EDMOND, OK 73013-8971
(405) 471-6800
(405) 471-6811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11950
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100129340A
—
OK
Enumeration date
07/26/2006
Last updated
11/03/2015
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