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980 4th Street Garretson SD 57030-0250 | |
(605) 594-3431 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 980 4th Street, Garretson, South Dakota |
Authorized Official Name and Position | Julie N. Norton (SENIOR VICE PRESIDENT FINANCE) |
Authorized Official Contact | 6053226375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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908 4th St. Garretson SD 57030 Ph: (605) 594-3431 | 980 4th Street Garretson SD 57030-0250 Ph: (605) 594-3431 |
NPI Number | 1174671242 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 03/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174671242 | NPI | - | NPPES |
5611292 | Medicaid | SD | |
5610962 | Medicaid | SD | |
5609088 | Medicaid | SD | |
5611473 | Medicaid | SD |