Provider Demographics
NPI:1609029891
Name:JOHN E WINTER II, MD, PC
Entity Type:Organization
Organization Name:JOHN E WINTER II, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:307-635-4300
Mailing Address - Street 1:2301 HOUSE AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-3176
Mailing Address - Country:US
Mailing Address - Phone:307-635-4300
Mailing Address - Fax:307-635-4309
Practice Address - Street 1:2301 HOUSE AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3176
Practice Address - Country:US
Practice Address - Phone:307-635-4300
Practice Address - Fax:307-635-4309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty