Organization
PROFILE PLAN, LLC
Active
Other names
Profile
Organization subpart
No
Provider details
NPI number
Authorized official
COREY M CONDON (SENIOR PRODUCT OFFICER)
(605) 376-6659
Entity
Organization
Contact information
Practice address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
(605) 376-6659
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
(605) 376-6659
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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