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Individual

MEREDITH B POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4400 W. 69TH ST., SUITE 1500, SIOUX FALLS, SD 57108-8171
(605) 322-5700
(605) 322-5704
Mailing address
2400 S. MINNESOTA AVE., SUITE 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
51352
MN
2084P0800X
Psychiatry Physician
Primary
8845
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7102080
SD
Enumeration date
06/17/2008
Last updated
12/06/2013
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