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Organization
MERCY MEDICAL SERVICES
Active
Organization
MERCY MEDICAL SERVICES
Active
Other names
Mercy Dakota Dunes Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K. MONSMA (EXECUTIVE NETWORK DIRECTOR)
(712) 279-2925
Entity
Organization
Contact information
Practice address
330 DAKOTA DUNES BLVD, DAKOTA DUNES, SD 57049-0000
(712) 294-7440
(712) 294-7439
Mailing address
PO BOX 328, SIOUX CITY, IA 51102-0328
(712) 279-5830
(712) 279-5883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SD
Enumeration date
06/07/2006
Last updated
09/11/2008
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