Provider Demographics
NPI:1184812067
Name:WINKLER, JUERGEN GERNOT (MD)
Entity type:Individual
Prefix:
First Name:JUERGEN
Middle Name:GERNOT
Last Name:WINKLER
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 1:6120 PASEO DEL NORTE
Mailing Address - Street 2:SUITEL-2
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-1150
Mailing Address - Country:US
Mailing Address - Phone:760-585-4616
Mailing Address - Fax:760-259-1380
Practice Address - Street 1:6120 PASEO DEL NORTE
Practice Address - Street 2:SUITE L-2
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-1150
Practice Address - Country:US
Practice Address - Phone:760-585-4616
Practice Address - Fax:760-259-1380
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67075207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine