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SANFORD CLINIC

Physicians Psychiatry & Neurology Neurology

Provider NPI: 1881610889

Organization Information:
Organization Name:  SANFORD CLINIC
Organization is not Subpart
Authorized Official:  STEVE W GOETSCH  PROVIDER ENROLLMENT  605-328-6940

Practice Location:
1600 W 22ND ST  SIOUX FALLS, SD 57105-1521 US
Tel: 605-312-1000  Fax: 605-312-1001

Business Mailing Address:
PO BOX 5074  SIOUX FALLS, SD 57117-5074 US
Tel: 605-328-7180  Fax: 605-328-7177

NPI Information:
NPI: 1881610889
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2084N0400XPhysicians
Psychiatry & Neurology
Neurology
N2085P0229XPhysicians
Radiology
N208600000XPhysicians
Surgery
N163W00000XNursing Service Providers
Registered Nurse
N101Y00000XBehavioral Health & Social Service Providers
Counselor
N103T00000XBehavioral Health & Social Service Providers
Psychologist
N104100000XBehavioral Health & Social Service Providers
Social Worker
N133N00000XDietary & Nutritional Service Providers
Nutritionist
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
N164W00000XNursing Service Providers
Licensed Practical Nurse
N170100000XOther Service Providers
Medical Genetics, Ph.D. Medical Genetics
N207SG0201XPhysicians
Medical Genetics
N207SG0205XPhysicians
Medical Genetics
Y208000000XPhysicians
Pediatrics
N208100000XPhysicians
Physical Medicine & Rehabilitation

Other Provider Identifiers:

IssuerNumberStateType
0573469IA05
916413800MN05



American Medical Association 2012 taxonomy code information

Code: 208000000X

Type:

Classification:



Definition:



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