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914 Saint Charles St Rapid City SD 57701-4530 | |
(605) 718-5127 | |
(605) 388-4621 |
Full Name | |
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Speciality | Family Medicine |
Location | 914 Saint Charles St, Rapid City, South Dakota |
Authorized Official Name and Position | Rolf Amund Norlin (OWNER) |
Authorized Official Contact | 6057185127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 8066 Rapid City SD 57709-8066 Ph: (605) 718-5127 | 914 Saint Charles St Rapid City SD 57701-4530 Ph: (605) 718-5127 |
NPI Number | 1477590602 |
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Provider Enumeration Date | 05/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1477590602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 4488 (South Dakota) | Primary |
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