Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 4704246334 | MI |
NPI | 1083083547 |
---|---|
Provider Name | Laura Winkelman |
First Address | Richmond, MI 48062-5625 |
Second Address | Marysville, MI 48040-1850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2015 |
Last Update Date | 06/12/2021 |