Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD442966 | PA |
N | 208600000X | Surgeon | MD442966 | PA |
Y | 2086X0206X | Surgical Oncologist | 35.134614 | OH |
NPI | 1003966920 |
---|---|
Provider Name | Dr. Jordan Michael Winter |
First Address | Cleveland, OH 44106-1716 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/01/2021 |