Individual
DR. JOHN S. VASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5127
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2857
(605) 622-2852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5857
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097002
—
MT
05
—
13389
—
ND
01
—
25444
BLUE CROSS OF ND
ND
01
—
4992811
BLUE CROSS
SD
01
—
55342
SANFORD
SD
01
—
5857
DAKOTACARE
SD
01
—
6663110511600
PREFERRED ONE
SD
Enumeration date
07/17/2006
Last updated
07/09/2015
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