Provider Demographics
NPI:1275518656
Name:WINSKOWSKI, LOUIS CHESTER JR (CERTIFIED PEDORTHIST)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:CHESTER
Last Name:WINSKOWSKI
Suffix:JR
Gender:M
Credentials:CERTIFIED PEDORTHIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6370 NE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SAUK RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56379-9316
Mailing Address - Country:US
Mailing Address - Phone:320-656-1363
Mailing Address - Fax:320-656-0916
Practice Address - Street 1:50 14TH AVE E STE 114
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-4653
Practice Address - Country:US
Practice Address - Phone:320-656-1363
Practice Address - Fax:320-656-0916
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN121066100Medicaid
MN121066100Medicaid