Organization
WINGHAVEN WOMENS CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTEN M MCDANIEL D.O. (PRESIDENT)
(636) 928-4884
Entity
Organization
Contact information
Practice address
5551 WINGHAVEN BLVD, SUITE 260, O FALLON, MO 63368-3617
(636) 928-4884
(636) 926-3003
Mailing address
5551 WINGHAVEN BLVD, SUITE 260, O FALLON, MO 63368-3617
(636) 928-4884
(636) 926-3003
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2004016557
MO
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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