Provider Demographics
NPI:1871854331
Name:WINTER, GEORGI LYNN (DVM)
Entity Type:Individual
Prefix:
First Name:GEORGI
Middle Name:LYNN
Last Name:WINTER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 BOARDWALK DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2367
Mailing Address - Country:US
Mailing Address - Phone:989-792-3647
Mailing Address - Fax:
Practice Address - Street 1:3100 BOARDWALK DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2367
Practice Address - Country:US
Practice Address - Phone:989-792-3647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6901009813174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian