# SANFORD CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Clinic Neurology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881600286
- **Authorized official:** STEVE GOETSCH (CFO)
- **Authorized official phone:** (605) 328-6940

## Contact information

- **Practice address:** 1210 W 18TH ST, STE 100, SIOUX FALLS, SD 57104-9890
- **Practice address phone:** (605) 312-8500
- **Practice address fax:** (605) 312-8501
- **Mailing address:** PO BOX 5074, SIOUX FALLS, SD 57117-5074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 10/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0537886 | — | IA |
| 05 | — | 281988100 | — | MN |