| |
521 N Main Ave Suite 100 Sioux Falls SD 57104-5948 | |
(605) 367-8793 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 521 N Main Ave, Sioux Falls, South Dakota |
Authorized Official Name and Position | Jill Franken (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6053678761 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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521 N Main Ave Suite 100 Sioux Falls SD 57104-5948 Ph: (605) 367-8793 | 521 N Main Ave Suite 100 Sioux Falls SD 57104-5948 Ph: (605) 367-8793 |
NPI Number | 1457888760 |
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Provider Enumeration Date | 05/17/2017 |
Last Update Date | 05/17/2017 |
Identifier | Type | State | Issuer |
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1457888760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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