Individual
GARY KONSTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1308 19TH STREET NE, WATERTOWN, SD 57201
(605) 882-1131
(605) 882-9602
Mailing address
1308 19TH STREET NE, WATERTOWN, SD 57201
(605) 882-1131
(605) 882-9602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
725
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7603070
—
SD
Enumeration date
09/26/2006
Last updated
08/25/2011
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