Organization
WINNER SURGERY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK J WAGNER M.D. (PRESIDENT)
(605) 842-1612
Entity
Organization
Contact information
Practice address
825 E 8TH ST, SUITE 202, WINNER, SD 57580-2634
(605) 842-1612
(605) 842-3837
Mailing address
825 E 8TH ST, SUITE 202, WINNER, SD 57580-2634
(605) 842-1612
(605) 842-3837
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DB059482
SD
Other
Enumeration date
11/20/2014
Last updated
06/09/2016
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