Individual
GREGORY KENT NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 S ELMWOOD AVE, SIOUX FALLS, SD 57105-6565
(605) 306-6140
(605) 306-6500
Mailing address
3801 S ELMWOOD AVE, SIOUX FALLS, SD 57105-6565
(605) 306-6100
(605) 306-6500
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
10915
SD
Other
Enumeration date
04/17/2011
Last updated
08/07/2022
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