Individual
DR. MARK R. WINTEREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10315 DAWSONS CREEK BLVD, STE I, FORT WAYNE, IN 46825-1912
(260) 490-3400
(260) 489-5930
Mailing address
10315 DAWSONS CREEK BLVD, STE I, FORT WAYNE, IN 46825-1912
(260) 490-3400
(260) 489-5930
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
08001604A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092552
BLUE CROSS/BLUE SHIELD
IN
Enumeration date
05/24/2005
Last updated
11/27/2007
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