Individual
MICHAEL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 S 7TH AVE, STE 2, SIOUX FALLS, SD 57105-0998
(605) 336-2140
Mailing address
PO BOX 86430, SIOUX FALLS, SD 57118-6430
(605) 322-4900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5062
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6701532
—
SD
Enumeration date
06/28/2006
Last updated
09/18/2009
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