Individual
JULIE ANN TAN LINATOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1315 S CLIFF AVE, STE. 2000, SIOUX FALLS, SD 57105-1058
(605) 322-5800
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
8525
SD
390200000X
Student in an Organized Health Care Education/Training Program
0116022281
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008330
—
SD
01
—
P01213105
RR MEDICARE
SD
Enumeration date
09/03/2008
Last updated
10/16/2018
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