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Individual

DR. RODNEY WAYNE DYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
820 2ND AVE N, WINDOM, MN 56101-1761
(507) 831-3388
(507) 831-4170
Mailing address
PO BOX 338, WINDOM, MN 56101-0338
(507) 831-3388
(507) 831-4170

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33684
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080169739
RAILROAD MEDICARE
05
224703800
MN
Enumeration date
02/09/2006
Last updated
05/18/2012
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