Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 2010022669 | MO |
NPI | 1508179078 |
---|---|
Provider Name | Dr. David Andrew Winarski |
First Address | Columbia, MO 65203-5921 |
Second Address | Columbia, MO 65203-5921 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2010 |
Last Update Date | 27/01/2014 |