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Individual

MICHAEL DWAYNE HODGE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-4973
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.014249
OH
208M00000X
Hospitalist Physician
Primary
14222
SD

Other

Enumeration date
04/11/2017
Last updated
08/23/2023
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