Individual
DR. DAVID MICHAEL MAZIARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 312-2100
(605) 312-2101
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
42677
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
31426
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
8762
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000569
CIGNA MEDICARE
—
Enumeration date
05/24/2007
Last updated
07/12/2022
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