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Organization
HEALTHSOURCE OF SIOUX FALLS WEST PC
Active
Organization
HEALTHSOURCE OF SIOUX FALLS WEST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TIMOTHY CLARKE (PRESIDENT)
(605) 275-0040
Entity
Organization
Contact information
Practice address
6705 W 41ST ST, SIOUX FALLS, SD 57106-1290
(605) 275-0040
(605) 275-0041
Mailing address
6705 W 41ST ST, SIOUX FALLS, SD 57106-1290
(605) 275-0040
(605) 275-0041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1225
SD
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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