Doctor Name: | PETER WINSTON |
NPI Number: | 1447395751 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301038127 |
Business Practice Address: | 6900 Orchard Lake Rd Suite 101 West Bloomfield, MI - 483223405 |
Business Phone Number: | 2485399036 |
Business Fax Number: | |
Mailing Address: | 20952 E 12 Mile Rd, Suite 200 SAINT CLAIR SHORES |
State: | MI |
Postal Code: | 480813200 |
Phone Number: | 5867714820 |
Fax Number: | 5867716620 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 02/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 4301038127 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |