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Individual

CRAIG A WINJUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
225 W ASHLAND AVE, STE 1, INDIANOLA, IA 50125-2462
(515) 961-5305
(515) 961-9225
Mailing address
225 W ASHLAND AVE, STE 1, INDIANOLA, IA 50125-2462
(515) 961-5305
(515) 961-9225

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2023
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0102616
IA
05
1102616
IA
05
2102616
IA
Enumeration date
05/03/2006
Last updated
02/04/2014
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