Organization
NSU INC
Active
Other names
cornerstone healthcare of winona
Organization subpart
No
Provider details
NPI number
Authorized official
TESSIE M RENARD CPC (CLINIC ADMINISTRATOR)
(507) 474-4770
Entity
Organization
Contact information
Practice address
62 E 3RD ST, SUITE 3, WINONA, MN 55987-3481
(507) 474-4770
(507) 474-4774
Mailing address
170 E 4TH ST, SUITE 6, WINONA, MN 55987-3512
(507) 474-4770
(507) 474-4774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109960
HEALTH PARTNERS
MN
01
—
677G2CO
BCBS MN
MN
Enumeration date
07/15/2006
Last updated
03/27/2008
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