Provider Demographics
NPI:1306665914
Name:BROOKE WINNER MD, PLLC
Entity type:Organization
Organization Name:BROOKE WINNER MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-313-9547
Mailing Address - Street 1:6204 8TH AVE NW UNIT A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2270
Mailing Address - Country:US
Mailing Address - Phone:206-455-4491
Mailing Address - Fax:206-279-8528
Practice Address - Street 1:6204 8TH AVE NW UNIT A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-2270
Practice Address - Country:US
Practice Address - Phone:206-455-4491
Practice Address - Fax:206-279-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty