Individual
MS. MADISON WINTERSCHEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1245 S UTICA AVE STE 300, TULSA, OK 74104-4214
(918) 592-0999
(918) 592-1262
Mailing address
1245 S UTICA AVE STE 300, TULSA, OK 74104-4214
(918) 592-0999
(918) 592-1262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201104680A
—
OK
Enumeration date
06/21/2022
Last updated
01/18/2023
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