South

NPI #1114374469 in Fairmont, Minnesota

Provider Information

NPI Number
1114374469
Entity Type
Organization
Organization Name
South
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 17, 2016
Last Updated
Oct 16, 2023

Practice Location

Address
717 S STATE ST
Address 2
STE 1000
ZIP Code
56031-4469
Phone
(507) 235-3939

Authorized Official

Name
COREY T WELCHLIN, DO
Title
OWNER PRESIDENT
Phone
(507) 238-4949

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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