Provider Demographics
NPI:1194817072
Name:WINSTON, ROBERT D (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:WINSTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3435 WEST BROADWAY
Mailing Address - Street 2:SUITE 1065
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422
Mailing Address - Country:US
Mailing Address - Phone:763-520-1137
Mailing Address - Fax:763-520-1976
Practice Address - Street 1:3960 COON RAPIDS BLVD
Practice Address - Street 2:SUITE 311
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433
Practice Address - Country:US
Practice Address - Phone:763-236-9090
Practice Address - Fax:763-236-9089
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN33849207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1000542OtherPREFERRED ONE
MNHP14704OtherHEALTH PARTNERS
MN102858OtherUCARE
MN3600757OtherSELECT CARE
MN3600757OtherMEDICA
MN3600757OtherMEDICA