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Specialty details in registry · Sioux Falls, SD

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At a glance

4100 S Elmwood Pl, Sioux Falls, SD 57105-6573

NPPES record updated Dec 16, 2025. Public records can lag behind changes at a practice.

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Practice location

4100 S Elmwood Pl
Sioux Falls, SD 57105-6573

Professional details: NPI, taxonomy & registry record

NPI1124982830

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103K00000X
Enumeration date: Dec 16, 2025
Record updated: Dec 16, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103K00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4100 S Elmwood Pl
Sioux Falls, SD 57105-6573

Phone: (507) 384-8778

Mailing address

200 S 21ST ST STE 400A

LINCOLN, NE 685101044

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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