Individual
HEIDI LEE WINTERMOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
404 E 2ND ST, PRAIRIE CITY, IA 50228-8829
(515) 994-2617
(515) 994-2365
Mailing address
404 E 2ND ST, PRAIRIE CITY, IA 50228-8829
(515) 994-2617
(515) 994-2365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2301
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02301
STATE LICENSE
IA
05
—
2067264
—
IA
01
—
560910083
MEDICARE NUMBER
IA
Enumeration date
11/11/2005
Last updated
02/07/2022
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