Individual
WINSTON STEPHEN SCHANDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 NINTH STREET NORTH, VIRGINIA, MN 55792-2398
(218) 741-3340
(218) 749-9427
Mailing address
901 NINTH STREET NORTH, VIRGINIA, MN 55792-2398
(218) 741-3340
(218) 749-9427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29830
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140280300
—
MN
Enumeration date
11/28/2006
Last updated
06/29/2011
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