| |
409 3rd Ave S, Clear Lake, SD 57226-0675 | |
(605) 874-2601 | |
(605) 874-1363 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 409 3rd Ave S, Clear Lake, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184055840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1241 (South Dakota) | Primary |
Mailing Address | Practice Location Address |
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Po Box 675, Clear Lake, SD 57226-0675 Ph: (605) 874-2951 | 409 3rd Ave S, Clear Lake, SD 57226-0675 Ph: (605) 874-2601 |