Individual
DR. ANDREW WADE BURCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4509 S PRINCE OF PEACE PL, SIOUX FALLS, SD 57103-5830
(605) 322-7705
(605) 322-7713
Mailing address
4509 S PRINCE OF PEACE PL, SIOUX FALLS, SD 57103-5830
(605) 322-7705
(605) 322-7713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3606
IA
207Q00000X
Family Medicine Physician
Primary
5871
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3455329
—
IA
05
—
5611140
—
SD
Enumeration date
03/23/2006
Last updated
01/17/2022
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