Individual
ROBERTA M MIDWINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
551 4TH ST NO, WINSTED, MN 55395-0000
(320) 485-4803
(320) 485-4499
Mailing address
PO BOX 718, WINSTED, MN 55395-0718
(320) 485-4803
(320) 485-4499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38263
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38263
MEDICAL LICENSE
MN
05
—
866727600
—
MN
Enumeration date
07/21/2005
Last updated
05/13/2008
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