Individual
PETER WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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