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Organization
FERGUS FALLS MEDICAL GROUP, P.A.
Active
Organization
FERGUS FALLS MEDICAL GROUP, P.A.
Active
Other names
Westridge Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JIM WILKUS (CEO)
(218) 739-5281
Entity
Organization
Contact information
Practice address
2001 W LINCOLN AVE, SUITE 56, FERGUS FALLS, MN 56537-1010
(218) 739-5281
(218) 739-5283
Mailing address
615 S MILL ST, FERGUS FALLS, MN 56537-2756
(218) 739-2221
(218) 739-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00-01587
WRC MEDICA #
MN
05
—
10344
—
ND
01
—
109516
WRC UCARE #
MN
01
—
62345FE
WRC BCBS #
MN
Enumeration date
06/02/2006
Last updated
08/22/2020
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