Individual
DANE WINKELMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39346 PROSPECT DR., FOREST FALLS, CA 92339
(909) 208-0930
Mailing address
39346 PROSPECT DR., FOREST FALLS, CA 92339
(909) 208-0930
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G27167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G271670
MEDI-CAL
CA
Enumeration date
01/02/2007
Last updated
01/18/2012
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