Individual
EDWARD M WINECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E THIRD STREET, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
2845 GREENBRIER RD, PO BOX 8900, GREEN BAY, WI 54308-8900
(920) 288-4930
(920) 288-4941
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
40390
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32490500
—
WI
Enumeration date
06/25/2006
Last updated
10/09/2018
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