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Organization
SOUTHWEST MINNESOTA ORTHOPEDICS AND SPORTS MEDICINE, INC.
Active
Organization
SOUTHWEST MINNESOTA ORTHOPEDICS AND SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY C. NWAKAMA M.D. (OWNER-M.D.)
(507) 393-7696
Entity
Organization
Contact information
Practice address
2331 20TH ST, SLAYTON, MN 56172-1004
(507) 393-7696
(507) 393-7697
Mailing address
2331 20TH ST, SLAYTON, MN 56172-1004
(507) 393-7696
(507) 393-7697
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
37196
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
667522100
—
MN
Enumeration date
12/21/2006
Last updated
03/30/2011
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