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Individual

DR. BRIAN L DEVRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 E 26TH ST, SIOUX FALLS, SD 57105-4023
(605) 338-7098
(605) 335-3505
Mailing address
2201 W CHERRYWOOD CIR, SIOUX FALLS, SD 57108-3152
(605) 338-7098
(605) 335-3505

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5555
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
367G5DE
BLUE CROSS MN
MN
01
4995012
BLUE CROSS SD
SD
05
5701130
SD
05
590364
IA
Enumeration date
11/07/2006
Last updated
04/04/2008
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