Provider Demographics
NPI:1235210014
Name:WINNER, CHRISTOPHER LEWIS (PA)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:LEWIS
Last Name:WINNER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:NEWFANE
Mailing Address - State:VT
Mailing Address - Zip Code:05345
Mailing Address - Country:US
Mailing Address - Phone:802-365-7215
Mailing Address - Fax:
Practice Address - Street 1:789 NATIONAL GUARD RD.
Practice Address - Street 2:VTARNG MEDICAL DETACHMENT
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-3099
Practice Address - Country:US
Practice Address - Phone:802-338-3464
Practice Address - Fax:802-338-3038
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant