Individual
DR. GINAT WINTERMEYER MIROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD MD
Contact information
Practice address
1910 N ARLINGTON AVE, INDIANAPOLIS, IN 46218-5128
(317) 359-5357
(317) 359-5358
Mailing address
1910 N ARLINGTON AVE, INDIANAPOLIS, IN 46218-5128
(317) 359-5357
(317) 359-5358
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
IN01044760
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000379439
ANTHEM
IN
01
—
00000035063
ANTHEN
—
05
—
20089980
—
IN
Enumeration date
07/18/2005
Last updated
08/08/2014
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