Individual
DR. RANDALL WALDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 W 10TH AVE, REDFIELD, SD 57469-1519
(605) 472-1110
(605) 472-0331
Mailing address
PO BOX 590, REDFIELD, SD 57469-0590
(605) 472-0510
(605) 472-0512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12172
SD
Other
Enumeration date
04/18/2017
Last updated
08/31/2020
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