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501 Bloemendaal Drive Ipswich SD 57451 | |
(605) 622-2857 | |
(605) 622-2859 |
Full Name | |
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Speciality | Family Medicine |
Location | 501 Bloemendaal Drive, Ipswich, South Dakota |
Authorized Official Name and Position | Todd Forkel (PRESIDENT AND CEO) |
Authorized Official Contact | 6056225125 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1460 Aberdeen SD 57402-1460 Ph: (605) 622-2857 | 501 Bloemendaal Drive Ipswich SD 57451 Ph: (605) 622-2857 |
NPI Number | 1558624668 |
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Provider Enumeration Date | 06/22/2012 |
Last Update Date | 06/22/2012 |
Identifier | Type | State | Issuer |
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1558624668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |