Individual
JOHN MICHAEL TRAVNICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 S CLIFF AVE, EMERGENCY DEPT, SIOUX FALLS, SD 57105-1007
(605) 322-2000
(605) 322-2036
Mailing address
PO BOX 5045, P.F.S., SIOUX FALLS, SD 57117-5045
(605) 322-2000
(605) 322-2030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5884
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174556609
—
IA
01
—
349C2TR
MN BLUECROSS BS
SD
05
—
46022474331
—
NE
05
—
477608000
—
MN
01
—
4993479
BLUE CROSS OF SD
SD
01
—
5884
DAKOTACARE
SD
05
—
6631370
—
SD
Enumeration date
07/08/2006
Last updated
04/19/2013
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