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Specialty details in registry · Sioux Falls, SD

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At a glance

6417 W Thatcher Dr, Sioux Falls, SD 57106-5337

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

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Insurance participation and appointment availability are not established by these public records.

Practice location

6417 W Thatcher Dr
Sioux Falls, SD 57106-5337
Professional details: NPI, taxonomy & registry record
NPI1356152508
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253Z00000X
Enumeration date
Jan 16, 2025
Record updated
Jan 16, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

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

Practice location

6417 W Thatcher Dr
Sioux Falls, SD 57106-5337
Phone
(605) 988-7022
Mailing address
6417 W THATCHER DR

SIOUX FALLS, SD 571065337
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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