Individual
RICK STOLTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
601 E 7TH ST, PLATTE, SD 57369-2123
(605) 337-3364
(605) 337-2670
Mailing address
601 E 7TH ST, PLATTE, SD 57369-2123
(605) 337-3364
(605) 337-2670
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0377
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6825943
—
SD
05
—
6825945
—
SD
Enumeration date
11/08/2005
Last updated
12/29/2014
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