Provider Demographics
NPI:1700192051
Name:WINTERBAUER, RICHARD HILL (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:HILL
Last Name:WINTERBAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 83RD PL SE
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-5231
Mailing Address - Country:US
Mailing Address - Phone:206-232-6108
Mailing Address - Fax:
Practice Address - Street 1:6500 83RD PL SE
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-5231
Practice Address - Country:US
Practice Address - Phone:206-232-6108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00009391207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine