Individual
THOMAS M. WATERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56770
MN
207RC0000X
Cardiovascular Disease Physician
56770
MN
207RI0011X
Interventional Cardiology Physician
Primary
11389
SD
207RI0011X
Interventional Cardiology Physician
56770
MN
Other
Enumeration date
06/26/2012
Last updated
07/10/2019
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