Individual
REBECCA LYNN IMMONEN-SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11007
MN
363A00000X
Physician Assistant
Primary
1376
SD
363AS0400X
Surgical Physician Assistant
11007
MN
Other
Enumeration date
05/31/2011
Last updated
05/16/2025
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