Organization
UPPER MIDWEST MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LEE (OWNER/DIRECTOR)
(507) 828-4291
Entity
Organization
Contact information
Practice address
4201 S MINNESOTA AVE STE 112, SIOUX FALLS, SD 57105-6706
(605) 335-3349
Mailing address
4201 S MINNESOTA AVE STE 112, SIOUX FALLS, SD 57105-6706
(605) 335-3349
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208600000X
TAXONOMY
SD
Enumeration date
05/22/2019
Last updated
10/13/2020
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