Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 4301072002 | MI |
NPI | 1003865205 |
---|---|
Provider Name | Catherine Kerr Winslow |
First Address | Owosso, MI 48867-2116 |
Second Address | Owosso, MI 48867-2116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H65309 | (02) | MI |