Individual
RYAN FREDERICK POPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1056 29TH ST SE, WATERTOWN, SD 57201-9120
(605) 753-0960
Mailing address
600 BILLARS ST, SCOTLAND, SD 57059-2026
(605) 583-2226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R036441
SD
363L00000X
Nurse Practitioner
CP001399
SD
363LF0000X
Family Nurse Practitioner
Primary
CP001399
SD
Other
Enumeration date
06/27/2018
Last updated
02/07/2023
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