Provider Demographics
NPI:1407944044
Name:WINKES, ADELINE (MD)
Entity type:Individual
Prefix:DR
First Name:ADELINE
Middle Name:
Last Name:WINKES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEAUNTICOOK MEDICINE
Mailing Address - Street 2:PO BOX 129
Mailing Address - City:WEST ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04865
Mailing Address - Country:US
Mailing Address - Phone:207-921-5600
Mailing Address - Fax:207-921-5360
Practice Address - Street 1:643 ROCKLAND ST., SUITE A
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856
Practice Address - Country:US
Practice Address - Phone:207-390-8570
Practice Address - Fax:207-536-6400
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD20799208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH40553Medicare UPIN