Individual
DR. WILL R EIDSNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
RL0428
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093912636
—
SD
Enumeration date
06/28/2007
Last updated
06/24/2020
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