# WINONA OPHTHALMOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801858808
- **Authorized official:** MRS. WENDY SMITH SUZANNE SMITH (MANAGER)
- **Authorized official phone:** (507) 454-4523

## Contact information

- **Practice address:** 62 E 4TH ST, WINONA, MN 55987-3508
- **Practice address phone:** (507) 454-4523
- **Practice address fax:** (507) 454-0116
- **Mailing address:** 62 E 4TH ST, WINONA, MN 55987-3508
- **Mailing address phone:** (507) 454-4523
- **Mailing address fax:** (507) 454-0116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 20008 | MN | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 08/22/2020