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2170 Hospital Dr Ste A Windom MN 56101-1287 | |
(507) 831-2550 | |
(507) 831-5528 |
Full Name | |
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Speciality | Family Medicine |
Location | 2170 Hospital Dr Ste A, Windom, Minnesota |
Authorized Official Name and Position | Jeffrey D Taber (PROVIDER) |
Authorized Official Contact | 5078312550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 187 Windom MN 56101-0187 Ph: (507) 831-2550 | 2170 Hospital Dr Ste A Windom MN 56101-1287 Ph: (507) 831-2550 |
NPI Number | 1134286115 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 02/21/2013 |
Identifier | Type | State | Issuer |
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1134286115 | NPI | - | NPPES |
33246WI | Other | MN | BCBS - GROUP |
993813300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sanford Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2170 Hospital Dr, Windom, MN 56101 Phone: 507-831-1422 Fax: 507-831-4783 | |