| Greg E Brostad, Llc | |
|
2412 S Cliff Ave Sioux Falls SD 57105-4031 | |
| (605) 322-4079 | |
| (605) 335-0014 |
| Full Name | Greg E Brostad, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2412 S Cliff Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Greg E Brostad (OWNER) |
| Authorized Official Contact | 6053224079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg E Brostad, Llc 2412 S Cliff Ave Sioux Falls SD 57105-4031 Ph: (605) 322-4079 | Greg E Brostad, Llc 2412 S Cliff Ave Sioux Falls SD 57105-4031 Ph: (605) 322-4079 |
| NPI Number | 1962817718 |
|---|---|
| Provider Enumeration Date | 06/30/2014 |
| Last Update Date | 06/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962817718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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