Individual
ROBERT PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 3RD AVE S, CLEAR LAKE, SD 57226-2016
(605) 874-2141
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13087
SD
207Q00000X
Family Medicine Physician
59527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001-0205178
MEDICA
—
01
—
1184038580
BCBS OF MINNESOTA
MN
05
—
1184038580
—
MN
Enumeration date
06/13/2014
Last updated
03/29/2023
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