WESTERN OB/GYN LTD NPI 1093703316

NPI Information

  • NPI: 1093703316
  • Provider Name: WESTERN OB/GYN LTD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 24D0400873
  • Address: 560 S MAPLE ST
    SUITE 130
    WACONIA, MN
    ZIP 55387
  • Phone: (952) 442-2137

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NPI Details

WESTERN OB/GYN LTD is an obstetrics gynecology in Waconia, MN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WESTERN OB/GYN LTD NPI is 1093703316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

560 S MAPLE ST
SUITE 130
WACONIA, MN
ZIP 55387-733
Phone: (952) 442-2137
Fax: (952) 442-5960

The provider's authorized official is Anthony J Werner .
The authorized official title is Chief Operating Officer and has the following contact phone number (952) 442-2137.

The CLIA number assigned to this NPI record is 24D0400873 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/11/2005 and was last updated on 7/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C07440MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
2526810900MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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