Winkle, Mark Robert

Winkle, Mark Robert is an individual health care provider with primary practice located at 655 Kenmoor Ave Se Suite A, Grand Rapids MI 49546-8622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Winkle, Mark Robert can be contacted via phone (616) 575-1212.

Contact Information

Primary practice address
655 Kenmoor Ave Se Suite A Grand Rapids MI 49546-8622
Phone: (616) 575-1212
Fax: (616) 575-1219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MW075576 Michigan

Profile Details

NPI number 1457379240
LBN Legal business name Winkle, Mark Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 21st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457379240 NPPES
Michigan MEDICAID 4212922
Michigan Other 0D11035
Michigan Other 40015120

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