Individual
MS. JOANNE TIKKA DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 342-3280
(605) 721-8439
Mailing address
3802 COSPORT CT, RAPID CITY, SD 57702-6936
(605) 791-5385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0185
SD
Other
Enumeration date
08/31/2006
Last updated
06/09/2009
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