NPI 1033350541

Internal Medicine at Winghaven LLC

Organisation Primary Care Clinic/Center O Fallon, MO

Practice location

Address: 5551 Winghaven Blvd STE 290, O Fallon, MO 63368-3629
Phone: (636) 695-2575
Fax: (314) 590-5938

Authorised official

Name: Rick Sonne
Title: Director
Phone: (314) 576-2490

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence R8F27 (MO)

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1033350541
Entity type: Organization
NPI issued: 12 Mar 2009
Record last updated: 5 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.