Individual
DR. JON N WINTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-4000
(260) 482-4442
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01040128
IN
207P00000X
Emergency Medicine Physician
Primary
01040128A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014969
MPLAN
—
01
—
000000186713
ANTHEM
IN
05
—
0905757
—
OH
05
—
100374260
—
IN
05
—
104874472
—
MI
Enumeration date
11/18/2005
Last updated
02/14/2023
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