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Individual

ROSSITZA T VAKARELSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4500 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-7000
(605) 977-7001
Mailing address
1950 BLUEGRASS CIR STE 250, PO BOX 20190, CHEYENNE, WY 82009-7365
(307) 635-5393
(307) 635-2199

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4569
SD
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4569
SD
207R00000X
Internal Medicine Physician
4569
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1564914
IA
05
346793700
MN
01
4569
DAKOTA CARE
SD
01
4994203
BCBS
SD
05
6004006
SD
Enumeration date
06/22/2006
Last updated
03/15/2010
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