Family Practice Associates of Winner Prof LLC
NPI #1912083577 in Winner, South Dakota
Provider Information
- NPI Number
- 1912083577
- Entity Type
- Organization
- Organization Name
- Family Practice Associates of Winner Prof LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Dec 29, 2011
Practice Location
- Address
- 825 E 8TH ST
- City
- Winner
- State
- South Dakota
- ZIP Code
- 57580-2688
- Phone
- (605) 842-2626
Authorized Official
- Name
- MICHELLE PARVIN
- Title
- CREDENTIALING
- Phone
- (605) 842-2626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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