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2701 S Kiwanis Ave Sioux Falls SD 57105-4252 | |
| (605) 328-0020 | |
| (605) 328-0021 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2701 S Kiwanis Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Carolyn Tuttle (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 6053288384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5074 Sioux Falls SD 57117-5074 Ph: () - | 2701 S Kiwanis Ave Sioux Falls SD 57105-4252 Ph: (605) 328-0020 |
| NPI Number | 1093997017 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093997017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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