Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 04-38995 | KS |
N | 207XS0106X | Orthopaedic Hand Surgeon | 2016008714 | MO |
NPI | 1073839411 |
---|---|
Provider Name | Mark J Winston |
First Address | Leawood, KS 66211-1910 |
Second Address | Leawood, KS 66211-1910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2010 |
Last Update Date | 25/10/2016 |