| Internal Medicine At Winghaven Llc | |
|
5551 Winghaven Blvd Ste 290 O Fallon MO 63368-3629 | |
| (636) 695-2575 | |
| (314) 590-5938 |
| Full Name | Internal Medicine At Winghaven Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5551 Winghaven Blvd Ste 290, O Fallon, Missouri |
| Authorized Official Name and Position | Rick Sonne (DIRECTOR) |
| Authorized Official Contact | 3145762490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine At Winghaven Llc 5551 Winghaven Blvd Ste 290 O Fallon MO 63368-3629 Ph: (636) 695-2575 | Internal Medicine At Winghaven Llc 5551 Winghaven Blvd Ste 290 O Fallon MO 63368-3629 Ph: (636) 695-2575 |
| NPI Number | 1033350541 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 12/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033350541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R8F27 (Missouri) | Primary |
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