Individual
PETER WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 ORCHARD LAKE RD, SUITE 101, WEST BLOOMFIELD, MI 48322-3405
(248) 539-9036
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
4301038127
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301038127
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176814
TOTAL HEALTH CARE
MI
01
—
P01398044
RAILROAD MEDICARE
MI
01
—
PW038127
BLUE SHIELD
MI
Enumeration date
02/21/2007
Last updated
02/27/2015
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