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400 N Hiawatha Drive Canton SD 57013 | |
(605) 987-4378 | |
(605) 987-5844 |
Full Name | |
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Speciality | Family Medicine |
Location | 400 N Hiawatha Drive, Canton, South Dakota |
Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
Authorized Official Contact | 6053288380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 312-7605 | 400 N Hiawatha Drive Canton SD 57013 Ph: (605) 987-4378 |
NPI Number | 1033140454 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 01/23/2025 |
Identifier | Type | State | Issuer |
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1033140454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
364S00000X | Clinical Nurse Specialist | (* (Not Available)) | Secondary |