Individual
DR. RAY T BIRKENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 N SANBORN BLVD, MITCHELL, SD 57301-2449
(605) 996-2537
(605) 996-0500
Mailing address
305 N SANBORN BLVD, MITCHELL, SD 57301-2449
(605) 996-2537
(605) 996-0500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
S2475
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009375
WELLMARK BCBS
SD
01
—
2475
DAKOTACARE
SD
01
—
25172
SANFORD HEALTH PLAN
SD
05
—
6300290
—
SD
Enumeration date
01/31/2006
Last updated
11/10/2022
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