| Sanford Clinic Infectious Disease | |
|
1205 S Grange Ave Suite 401 Sioux Falls SD 57105-0410 | |
| (605) 328-8121 | |
| (605) 328-8120 |
| Full Name | Sanford Clinic Infectious Disease |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1205 S Grange Ave, Sioux Falls, 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 |
|---|---|
| Sanford Clinic Infectious Disease Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Clinic Infectious Disease 1205 S Grange Ave Suite 401 Sioux Falls SD 57105-0410 Ph: (605) 328-8121 |
| NPI Number | 1447266853 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447266853 | NPI | - | NPPES |
| 281988100 | Medicaid | MN | |
| 0537886 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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