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Individual
TODD M OFFICER
Active
Individual
TODD M OFFICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52316
MN
207Q00000X
Family Medicine Physician
RL-0437
SD
207Q00000X
Family Medicine Physician
TP-104372
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
492921
WELLMARK
SD
01
—
4992652
WELLMARK
SD
01
—
4994117
WELLMARK
SD
05
—
5612800
—
SD
05
—
5612802
—
SD
05
—
5612803
—
SD
01
—
7038
DAKOTACARE
SD
01
—
P00463249
RR MEDICARE
SD
Enumeration date
05/24/2006
Last updated
10/18/2011
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