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205 Orchard Drive Sisseton SD 57262-2398 | |
(605) 698-7647 | |
(605) 698-4626 |
Full Name | |
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Speciality | Family Medicine |
Location | 205 Orchard Drive, Sisseton, South Dakota |
Authorized Official Name and Position | Craig Kantos (CEO) |
Authorized Official Contact | 6056987647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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205 Orchard Drive Sisseton SD 57262-2398 Ph: (605) 698-7647 | 205 Orchard Drive Sisseton SD 57262-2398 Ph: (605) 698-7647 |
NPI Number | 1164810933 |
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Provider Enumeration Date | 01/02/2015 |
Last Update Date | 08/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164810933 | NPI | - | NPPES |
5160 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 60020 (South Dakota) | Primary |
Us Dept Of Health & Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Sisseton Wahpeton Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |