Provider Demographics
NPI:1932433901
Name:WINKLER, ANTHONY CRAIG (IDC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:CRAIG
Last Name:WINKLER
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:CRAIG
Other - Last Name:WINKLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:USS DONALD COOK DDG 75
Mailing Address - Street 2:MEDICAL DEPARTMENT
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09566-1294
Mailing Address - Country:US
Mailing Address - Phone:757-444-8457
Mailing Address - Fax:
Practice Address - Street 1:USS DONALD COOK DDG 75
Practice Address - Street 2:MEDICAL DEPARTMENT
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09566-1294
Practice Address - Country:US
Practice Address - Phone:757-444-8457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman