Individual
DR. MARK H WINHOLTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
14860 MAKAH ST NW, ANDOVER, MN 55304-2863
(763) 421-8382
Mailing address
14860 MAKAH ST NW, ANDOVER, MN 55304-2863
(763) 421-8382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31391
MN
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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