Individual
DR. NICOLE MARIE KRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 S CLIFF AVE, EMERGENCY DEPARTMENT, SIOUX FALLS, SD 57105-1007
(605) 322-8000
Mailing address
1325 S CLIFF AVE, PO BOX 5045 PT FINANCIAL SERVICES, SIOUX FALLS, SD 57105-1007
(605) 322-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301085735
MI
207P00000X
Emergency Medicine Physician
Primary
7270
SD
390200000X
Student in an Organized Health Care Education/Training Program
4301085735
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184827560
BCBS MN
—
05
—
1184827560
—
IA
05
—
1184827560
—
MN
05
—
46022474331
—
NE
05
—
6632110
—
SD
01
—
7270
DAKOTACARE
—
01
—
P00648293
RAILROAD MEDICARE
SD
Enumeration date
06/06/2007
Last updated
04/17/2013
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