Individual
LEAH AYN MERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
521 N MAIN AVE STE 100, SIOUX FALLS, SD 57104-5947
(605) 367-8214
Mailing address
521 N MAIN AVE STE 100, SIOUX FALLS, SD 57104-5947
(605) 367-8793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0799
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6837110
—
SD
05
—
6837112
—
SD
Enumeration date
01/19/2012
Last updated
08/29/2017
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