Provider Demographics
NPI:1871795500
Name:WINN, JOHN NGUYEN (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:NGUYEN
Last Name:WINN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:916-379-2726
Mailing Address - Fax:916-853-7874
Practice Address - Street 1:6305 COYLE AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0438
Practice Address - Country:US
Practice Address - Phone:916-961-6120
Practice Address - Fax:916-408-8000
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2020-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA991802085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology