Provider Demographics
NPI:1104199496
Name:WINKELMANN, WESLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:
Last Name:WINKELMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 STONE HILL DR
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-5622
Mailing Address - Country:US
Mailing Address - Phone:979-836-5591
Mailing Address - Fax:979-836-5596
Practice Address - Street 1:352 STONE HILL DR
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5622
Practice Address - Country:US
Practice Address - Phone:979-836-5591
Practice Address - Fax:979-836-5596
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor