Individual
LARRY KEITH WINEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11146 S SHORE DR, SUTTONS BAY, MI 49682-9579
(231) 271-2372
(231) 271-0051
Mailing address
PO BOX 549, SUTTONS BAY, MI 49682-0549
(231) 590-3216
(231) 271-0051
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301027274
MI
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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