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Organization

ANAHEIM UROLOGIC MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD EUGENE WINELAND II M.D. (PRESIDENT)
(714) 776-6456
Entity
Organization

Contact information

Practice address
1211 W LA PALMA AVE, 307, ANAHEIM, CA 92801-2815
(714) 776-6456
(714) 776-6924
Mailing address
1211 W LA PALMA AVE, 307, ANAHEIM, CA 92801-2815
(714) 776-6456
(714) 776-6924

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G030924
CA

Other

Enumeration date
08/11/2006
Last updated
10/25/2007
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