Provider Demographics
NPI:1922458629
Name:MUELLER WINNIKE, STEPHANIE ROSE (AUD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:ROSE
Last Name:MUELLER WINNIKE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 8TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52401-2121
Mailing Address - Country:US
Mailing Address - Phone:319-398-6900
Mailing Address - Fax:
Practice Address - Street 1:901 8TH AVE SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-2121
Practice Address - Country:US
Practice Address - Phone:319-398-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA077010237700000X
IA078031231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist