Mrs Katie Elizabeth Larson, MD | |
1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105-0407 | |
(605) 328-7800 | |
(605) 328-7899 |
Full Name | Mrs Katie Elizabeth Larson |
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Gender | Female |
Speciality | Pediatrics |
Location | 1205 S Grange Ave, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043576853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0040 (South Dakota) | Primary |
Entity Name | Sanford Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
Entity Name | Sanford Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
Mailing Address | Practice Location Address |
---|---|
Mrs Katie Elizabeth Larson, MD 77 N Harmon Dr, Mitchell, SD 57301-6242 Ph: (605) 670-9305 | Mrs Katie Elizabeth Larson, MD 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105-0407 Ph: (605) 328-7800 |
Dr. Shari L Eich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 S Marion Rd, Sioux Falls, SD 57106 Phone: 605-322-1010 Fax: 605-322-1011 | |
Michael Elliott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S 7th Ave, Ste 2, Sioux Falls, SD 57105 Phone: 605-336-2140 | |
Brock J Doubledee, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 W 22nd, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Katherine Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-4425 Fax: 605-322-4499 | |
Kayelyn J. Wagner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W 22nd St, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Gulsah Olgun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 |