Individual
DR. JASON M WINTERHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 NEWARK GRANVILLE RD, SUITE 100, GRANVILLE, OH 43023-9135
(740) 587-0087
(740) 587-0084
Mailing address
2000 NEWARK GRANVILLE RD, SUITE 100, GRANVILLE, OH 43023-9135
(740) 587-0087
(740) 587-0084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34087075
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2648504
—
OH
01
—
P000409024
RAILROAD MEDICARE
OH
Enumeration date
05/04/2006
Last updated
02/24/2016
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