Organization
WINDING RIVER HEALTH CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH M WIELAND MD (CO OWNER)
(270) 683-3073
Entity
Organization
Contact information
Practice address
815 E PARRISH AVE, STE 420, OWENSBORO, KY 42303-3222
(270) 852-6600
(270) 852-6611
Mailing address
815 E PARRISH AVE, STE 420, OWENSBORO, KY 42303-3222
(270) 852-6600
(270) 852-6611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34118
KY
207R00000X
Internal Medicine Physician
34921
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65933574
—
KY
Enumeration date
06/23/2005
Last updated
08/22/2020
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