Organization
INTERNAL MEDICINE AT WINGHAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK SONNE (DIRECTOR)
(314) 576-2490
Entity
Organization
Contact information
Practice address
5551 WINGHAVEN BLVD STE 290, O FALLON, MO 63368-3629
(636) 695-2575
(314) 590-5938
Mailing address
5551 WINGHAVEN BLVD STE 290, O FALLON, MO 63368-3629
(636) 695-2575
(314) 590-5938
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R8F27
MO
Other
Enumeration date
03/12/2009
Last updated
12/05/2017
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