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Organization

WESTERN OB/GYN LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY J WERNER M.B.A. (CHIEF OPERATING OFFICER)
(952) 442-2137
Entity
Organization

Contact information

Practice address
560 S MAPLE ST, SUITE 130, WACONIA, MN 55387-1733
(952) 442-2137
(952) 442-5960
Mailing address
560 S MAPLE ST, SUITE 130, WACONIA, MN 55387-1733
(952) 442-2137
(952) 442-5960

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
526810900
MN
Enumeration date
10/11/2005
Last updated
07/19/2010
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