Provider Demographics
NPI:1730410465
Name:WINSKUNAS, PHILIP FELIX (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:FELIX
Last Name:WINSKUNAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6019 E. POWDERHOUSE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-7468
Mailing Address - Country:US
Mailing Address - Phone:605-357-9544
Mailing Address - Fax:605-357-9544
Practice Address - Street 1:6019 E. POWDERHOUSE CIRCLE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-7468
Practice Address - Country:US
Practice Address - Phone:605-357-9544
Practice Address - Fax:605-357-9544
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD3648208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery