Most Relevant Information
Provider Data
| NPI Number: | 1003488479 |
| Provider Name: | MICHELLE WINTERS |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 2169100350 |
Most Important Dates
| Enumeration Date: | 07/14/2021 |
| Last Updated: | 07/14/2021 |
Provider Practice Location
205 N EAST AVE
JACKSON
MI
492011753
Practice Location Phone/Fax
| Phone: | 5172054800 |
| Fax: |
Provider Mailing Location
4185 BERKSHIRE BLVD
JACKSON
MI
492035114
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |