Provider Demographics
NPI:1295706513
Name:WINTERBERGER, LINDA RENE (DO)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:RENE
Last Name:WINTERBERGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:227 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-1952
Mailing Address - Country:US
Mailing Address - Phone:636-931-2700
Mailing Address - Fax:636-931-5304
Practice Address - Street 1:100 OSAGE EXECUTIVE CIR
Practice Address - Street 2:
Practice Address - City:HOUSE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:63051-1382
Practice Address - Country:US
Practice Address - Phone:636-677-9977
Practice Address - Fax:636-677-9179
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR6F69207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO242240224Medicaid
MOD41523Medicare UPIN
MO001004772Medicare PIN
MO242240224Medicaid