Individual
WILLIAM R BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 SIOUX POINT RD, SUITE 100, DAKOTA DUNES, SD 57049-5091
(605) 217-5500
(605) 217-5515
Mailing address
705 SIOUX POINT RD, SUITE 100, DAKOTA DUNES, SD 57049-5091
(605) 217-5500
(605) 217-5515
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
1188
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000165998
RR MEDICARE
SD
01
—
4165886
MEDICAID
IA
05
—
6005020
—
SD
01
—
I13147
MEDICARE
IA
Enumeration date
02/17/2006
Last updated
01/22/2010
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