Individual
DR. XINYU DANIEL LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1323 BIA ROUTE 4, FORT THOMPSON, SD 57339-0200
(605) 245-1500
Mailing address
PO BOX 200, FORT THOMPSON, SD 57339-0200
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
064592
GA
390200000X
Student in an Organized Health Care Education/Training Program
TRN 10258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549010
—
SD
Enumeration date
05/31/2007
Last updated
09/26/2016
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