Organization
JEFFREY TABER MD
Active
Other names
Windom Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D TABER MD (PROVIDER)
(507) 831-2550
Entity
Organization
Contact information
Practice address
2170 HOSPITAL DR STE A, WINDOM, MN 56101-1287
(507) 831-2550
(507) 831-5528
Mailing address
PO BOX 187, WINDOM, MN 56101-0187
(507) 831-2550
(507) 831-5528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33246WI
BCBS - GROUP
MN
05
—
993813300
—
MN
Enumeration date
01/02/2007
Last updated
02/21/2013
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