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Individual

DR. THOMAS MATTHEW BOETEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1210 W 18TH ST, SUITE 100, SIOUX FALLS, SD 57104-9890
(605) 312-8500
(605) 312-8501
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-1848
(605) 328-1898

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
7154
SD
208100000X
Physical Medicine & Rehabilitation Physician
OS013636
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
7154
SD

Other

Enumeration date
04/22/2006
Last updated
04/04/2022
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