Individual
JONATHON BANNWARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 S MARION RD, SIOUX FALLS, SD 57106-3646
(605) 322-1010
(605) 322-1011
Mailing address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 322-1010
(605) 322-1011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10427
SD
Other
Enumeration date
04/16/2014
Last updated
04/15/2022
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