Individual
MARIA SEBALIA KOENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 W 22ND ST, SIOUX FALLS, SD 57105-1554
(605) 357-1391
Mailing address
5400 S GRAYSTONE AVE APT 12, SIOUX FALLS, SD 57108-8743
(712) 460-2360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
04/07/2023
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