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Individual

DR. IRA SETH WINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
KARMANOS CANCER CENTER, 4100 JOHN R, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8486
Mailing address
1560 E. MAPLE ROAD-CREDENTIALING DEPT., TROY, MI 48083-1135
(482) 581-5990

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301089753
MI
207VX0201X
Gynecologic Oncology Physician
Primary
4301089753
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H208910
BLUE CROSS
MI
Enumeration date
06/29/2007
Last updated
05/30/2019
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