Individual
ROBERT E VANDEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 W 18TH ST, STE G-01, SIOUX FALLS, SD 57104-4647
(605) 328-3700
(605) 328-3701
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2405
SD
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2405
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6400314
—
SD
Enumeration date
07/05/2005
Last updated
06/10/2019
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