Individual
CHRISTOPHER J. CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 W CEDAR ST, BERESFORD, SD 57004-1125
(605) 763-5002
(605) 763-5908
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1383
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5602805
—
SD
Enumeration date
06/13/2005
Last updated
03/25/2022
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