Adult And Adolescent Internal Medicine | |
2200 N Kimball St Ste 300 Mitchell SD 57301-1199 | |
(605) 995-0857 | |
(605) 995-0864 |
Full Name | Adult And Adolescent Internal Medicine |
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Speciality | Internal Medicine |
Location | 2200 N Kimball St Ste 300, Mitchell, South Dakota |
Authorized Official Name and Position | Lee J Brandt (CFO) |
Authorized Official Contact | 6053351952 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Adult And Adolescent Internal Medicine Po Box 5126 Sioux Falls SD 57117-5126 Ph: (605) 335-1952 | Adult And Adolescent Internal Medicine 2200 N Kimball St Ste 300 Mitchell SD 57301-1199 Ph: (605) 995-0857 |
NPI Number | 1093760860 |
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Provider Enumeration Date | 05/23/2006 |
Last Update Date | 02/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093760860 | NPI | - | NPPES |
0008099 | Other | SD | BCBS |
DF5256 | Other | SD | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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