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Individual

ARLIN MONROE MYRMOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2639
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14718
ND
01
255782
MIDLANDS CHOICE
01
2639
DAKOTACARE
SD
01
4992254
WELLMARK BC/BS
SD
05
6001413
SD
Enumeration date
02/21/2008
Last updated
07/21/2015
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