Individual
BONNIE L. BLEEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
910 E 20TH ST, SIOUX FALLS, SD 57105
(605) 334-6730
(605) 334-8096
Mailing address
7600 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2985
(605) 334-6730
(605) 444-8289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0288
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6821228
—
SD
Enumeration date
06/10/2005
Last updated
05/05/2022
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