Individual
CHARLES S WINJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 SATHER DR, FOSSTON, MN 56542-1531
(218) 435-1212
(221) 843-5130
Mailing address
PO BOX 506, FOSSTON, MN 56542-0506
(218) 435-1212
(218) 435-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31170
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105958
MEDICA #
MN
01
—
0123282
MEDCIA #
MN
01
—
054H4WI
MNBS #
MN
01
—
116153
UCARE #
MN
01
—
12540
NDBS #
MN
01
—
17708
ND MEDICAID
MN
01
—
26610
NDBS #
MN
01
—
5T073WI
MNBS #
MN
01
—
915965
AMERICIA'S PPO/ARAZ #
MN
01
—
DA9021015707
PREFERRED ONE #
MN
01
—
DA9071015707
PREFERRED ONE #
MN
01
—
HP20444
HEALTHPARNTERS #
MN
01
—
MN100018
LHS #
MN
Enumeration date
07/03/2006
Last updated
07/09/2007
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