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General NPI Number Information
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NPI Number | 1093857393
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Entity Type | Organization
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Legal Business Name | WINNESHIEK MEDICAL CENTER
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 114 MAIN ST S
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City | MABEL
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State | MN
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Zip | 55954-9754
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Country | US
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Telephone | 563-382-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 901 MONTGOMERY ST
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City | DECORAH
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State | IA
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Zip | 52101-2325
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Country | US
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Telephone | 563-382-2911
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | STEVEN ROBERT SLESSOR
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Credential |
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Telephone | 563-387-3145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 960127H
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License Number State | IA
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