Individual
DAVID KENT NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-7905
(605) 322-8414
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
1497
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110104032
RR MEDICARE
—
05
—
2965079
—
IA
05
—
6000133
—
SD
05
—
6000134
—
SD
05
—
646803900
—
MN
Enumeration date
06/28/2006
Last updated
10/17/2018
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