Organization
WILLMAR MEDICAL SERVICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY TONE (ADMINISTRATOR)
(320) 231-6766
Entity
Organization
Contact information
Practice address
1320 1ST ST S, WILLMAR, MN 56201-4242
(320) 235-6506
(320) 235-7069
Mailing address
1320 1ST ST S, PO BOX 773, WILLMAR, MN 56201-4242
(320) 235-6506
(320) 235-7069
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
327471
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369312100
—
MN
01
—
8816WI
BLUE CROSS OF MN
MN
Enumeration date
02/05/2006
Last updated
08/27/2012
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