Individual
WALLACE L FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2571
(605) 328-5800
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8476
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2009
Last updated
10/25/2012
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