Individual provider · Type 1 NPI
Irene Janet Wintermyer, PA
Medical Physician Assistant · Southfield, MI
NPI number
1679564389
Active
Practice location
16001 W 9 Mile Rd, Dept Of Internal Medicine
Southfield, MI 48075-4818
Mailing address
25925 Telegraph Rd, 210
Southfield, MI 48034-2518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601002111 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1679564389
Irene Janet Wintermyer, PA's National Provider Identifier is 1679564389, issued on Nov 2, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Southfield, MI. The record was last updated on Jul 13, 2026.