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Physicians Internal Medicine Nephrology

Provider NPI: 1336339357

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
1205 S. GRANGE AVE STE 201 SIOUX FALLS, SD 57105-0414 US
Tel: 605-328-8100  Fax: --

Business Mailing Address:
PO BOX 5074  SIOUX FALLS, SD 57117-5074 US
Tel: 605-328-7180  Fax: --

NPI Information:
NPI: 1336339357
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
PAOS 012789
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RN0300X





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