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Individual

JODIE KATHERINE HARTMANN MCSHERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1417 S. CLIFF AVE., STE. 300, SIOUX FALLS, SD 57105-1062
(605) 322-8630
(605) 322-8631
Mailing address
2400 S MINNESOTA AVE, STE. 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0797
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6836980
SD
Enumeration date
01/24/2012
Last updated
12/16/2014
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