Provider Demographics
NPI:1518949122
Name:WINTER, GILDA B (MD)
Entity Type:Individual
Prefix:
First Name:GILDA
Middle Name:B
Last Name:WINTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:212 11TH STREET S
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-4116
Mailing Address - Country:US
Mailing Address - Phone:608-392-9555
Mailing Address - Fax:608-392-9432
Practice Address - Street 1:212 11TH STREET S
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-4116
Practice Address - Country:US
Practice Address - Phone:608-392-9555
Practice Address - Fax:608-392-9432
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI456282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H87994Medicare UPIN