Individual
JEROME D WINEGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5303 ELLIOTT DR., SUITE 210, YPSILANTI, MI 48197
(734) 712-1000
(734) 712-1012
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
081828
MI
207RX0202X
Medical Oncology Physician
Primary
4301081828
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4611112
—
MI
Enumeration date
09/16/2005
Last updated
12/26/2024
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