Provider Demographics
NPI:1215971098
Name:WINKLERPRINS, VINCENT JAN (MD)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:JAN
Last Name:WINKLERPRINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3890 CHARLEVOIX RD UNIT 307
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8422
Mailing Address - Country:US
Mailing Address - Phone:231-360-2496
Mailing Address - Fax:231-259-1001
Practice Address - Street 1:3890 CHARLEVOIX RD UNIT 307
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8422
Practice Address - Country:US
Practice Address - Phone:231-360-2496
Practice Address - Fax:231-259-1001
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301076942207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4233190Medicaid
MI0C36088053Medicare ID - Type Unspecified
MI4233190Medicaid
MI0C36088053Medicare PIN