Individual
DR. KEELY MARIE HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1309 W 17TH ST STE 101, SIOUX FALLS, SD 57104-8805
(605) 328-8000
(605) 328-8001
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5463
NE
207RH0003X
Hematology & Oncology Physician
25122
NE
207RH0003X
Hematology & Oncology Physician
Primary
8920
SD
Other
Enumeration date
03/28/2007
Last updated
08/21/2013
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