Organization
FAMILY PRACTICE ASSOCIATES OF WINNER PROF LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PARVIN (CREDENTIALING)
(605) 842-2626
Entity
Organization
Contact information
Practice address
825 E 8TH ST, WINNER, SD 57580-2688
(605) 842-2626
(605) 842-3557
Mailing address
825 E 8TH ST, WINNER, SD 57580-2688
(605) 842-2626
(605) 842-3557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
12/29/2011
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