# SANFORD SCHOOL OF MEDICINE

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

## Provider details

- **NPI number:** 1740548692
- **Authorized official:** DR. TAMARA VIK MD (PROGRAM DIRECTOR/CHILD PSYCHIATRY)
- **Authorized official phone:** (605) 322-5737

## Contact information

- **Practice address:** 1400 W 22ND ST, SIOUX FALLS, SD 57105-1554
- **Practice address phone:** (605) 357-1300
- **Mailing address:** 1400 W 22ND ST, SIOUX FALLS, SD 57105-1554
- **Mailing address phone:** (605) 357-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2012
- **Last updated:** 04/30/2012