Provider Demographics
NPI:1376519942
Name:WINTER, VALERIE M (DPM)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:M
Last Name:WINTER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1200 BROOKS LN
Mailing Address - Street 2:SUITE 160
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3747
Mailing Address - Country:US
Mailing Address - Phone:412-405-8065
Mailing Address - Fax:412-405-8067
Practice Address - Street 1:1200 BROOKS LN
Practice Address - Street 2:SUITE 160
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3747
Practice Address - Country:US
Practice Address - Phone:412-405-8065
Practice Address - Fax:412-405-8067
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC005715213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015438620001Medicaid
PA1015438620001Medicaid
PAV09231Medicare UPIN