Individual
DR. MARK EDWARD WINTERSTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
36 RED HILL CT, NEWPORT, PA 17074-8706
(717) 567-9100
(717) 567-7121
Mailing address
36 RED HILL CT, NEWPORT, PA 17074-8706
(717) 567-9100
(717) 567-7121
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC004446R
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC004446R
PA
213ES0131X
Foot Surgery Podiatrist
SC004446R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019879850002
—
PA
Enumeration date
03/07/2006
Last updated
03/18/2014
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