Individual
MR. MICHAEL JOHN WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5511 RAEFORD ROAD, SUITE 150, FAYETTEVILLE, NC 28304-2058
(910) 630-5000
(910) 424-6767
Mailing address
5511 RAEFORD RD, SUITE 150, FAYETTEVILLE, NC 28304-2057
(910) 630-5000
(910) 424-6767
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-00472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-00472
NC LICENSE
NC
Enumeration date
07/26/2006
Last updated
07/25/2016
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