# GREAT PLAINS REHABILITATION MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316279391
- **Authorized official:** DR. JOHN C. VIDOLOFF MD (PHYSICIAN)
- **Authorized official phone:** (605) 229-2108

## Contact information

- **Practice address:** 201 S LLOYD ST, STE. W130, ABERDEEN, SD 57401-4552
- **Practice address phone:** (605) 229-2108
- **Practice address fax:** (605) 229-2116
- **Mailing address:** 201 S LLOYD ST, STE. W130, ABERDEEN, SD 57401-4552
- **Mailing address phone:** (605) 229-2108
- **Mailing address fax:** (605) 229-2116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2759 | SD | Yes |

## Other

- **Enumeration date:** 02/02/2010
- **Last updated:** 02/02/2010