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Individual

GREGORY N VAN WINKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
N91W15750 FALLS PKWY, ORTHOPAEDIC SPORTS AND SPINE CENTER, MENOMONEE FALLS, WI 53051-2301
(262) 532-1100
(262) 532-1409
Mailing address
N91W15750 FALLS PKWY, ORTHOPAEDIC SPORTS AND SPINE CENTER, MENOMONEE FALLS, WI 53051-2301
(262) 532-1100
(262) 532-1409

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27105
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487764700
WI
05
30658300
WI
01
WI1897108
MEDICARE
WI
Enumeration date
08/30/2006
Last updated
02/27/2017
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