Doctor Name: | DAVID K WINEINGER |
NPI Number: | 1972566214 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | M8689 |
Business Practice Address: | 1705 N Government Way Coeur D Alene, ID - 838143444 |
Business Phone Number: | 2087658585 |
Business Fax Number: | 2087658486 |
Mailing Address: | 12357 N Friar Dr, HAYDEN LAKE |
State: | ID |
Postal Code: | 838357512 |
Phone Number: | 2087728178 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | M8689 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |