| Sanford Clinic Sports Medicine | |
|
1210 W 18th St Suite G01 Sioux Falls SD 57104-4647 | |
| (605) 328-1750 | |
| (605) 328-1751 |
| Full Name | Sanford Clinic Sports Medicine |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 1210 W 18th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Steve Geotsch (CFO) |
| Authorized Official Contact | 6053284538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Clinic Sports Medicine 1210 W 18th St Suite G01 Sioux Falls SD 57104-4647 Ph: (605) 328-1750 | Sanford Clinic Sports Medicine 1210 W 18th St Suite G01 Sioux Falls SD 57104-4647 Ph: (605) 328-1750 |
| NPI Number | 1790791101 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790791101 | NPI | - | NPPES |
| 684424300 | Medicaid | MN | |
| 0562025 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
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