Michael John Winn in Fayetteville - Medical

Michael John Winn - NPI 1902829039

Michael John Winn is a Medical in Fayetteville, North Carolina. Michael John Winn practices all healthcare services and medical treatments related to Medical. The NPI Number for Michael John Winn is 1902829039. The last update date is 2016-07-25.

Michael John Winn's current location address is 5511 Raeford Rd, Fayetteville, North Carolina. You can contact this provider via phone number 9106305000 and fax number 9104246767. The mailing address for Michael John Winn is 5511 Raeford Rd, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael John Winn
Address 5511 Raeford Rd, Fayetteville, North Carolina
Phone Number 9106305000
Fax Number 9104246767
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1902829039
Provider Enumeration Date 2006-07-26
Last Updated Date 2016-07-25

Provider Mailing Address Detail

Address 5511 Raeford Rd
City Fayetteville
State North Carolina (NC)
Post Code 283042057
Phone Number 9106305000
Fax Number 9104246767

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 0010-00472
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0010-00472 NC NC LICENSE

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FAQs about Michael John Winn

What is the Michael John Winn's unique identification number?

The Michael John Winn has been assigned the NPI (National Provider Identifier) Number 1902829039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Michael John Winn's facilities are situated?

The facilities of Michael John Winn are physically located at the following address: 5511 Raeford Rd, Fayetteville, NC, 283042057.

What is the Michael John Winn's specialty and taxonomy code?

The Michael John Winn's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Michael John Winn receive its 1902829039 assignment from the Centers for Medicare & Medicaid Services?

The Michael John Winn was assigned its 1902829039 by the Centers for Medicare & Medicaid Services on 2006-07-26.

As of what date were the Michael John Winn's details last updated?

The information pertaining to the Michael John Winn, including its address, specialty, and other details, was most recently updated on 2016-07-25.

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