Organization
M & D ENTERPRISES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN PHILIP CONRAD DPM (PRESIDENT)
(605) 348-6180
Entity
Organization
Contact information
Practice address
3641 STURGIS RD, RAPID CITY, SD 57702-0321
(605) 348-6180
(605) 348-9121
Mailing address
3641 STURGIS RD, RAPID CITY, SD 57702-0321
(605) 348-6180
(605) 348-9121
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
142
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4563 S
MEDICARE IDENTIFICATION #
SD
Enumeration date
01/03/2012
Last updated
01/26/2012
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