Organization
MINDAKOTA NEUROLOGICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD L SELJESKOG M.D. (PRESIDENT)
(605) 348-5321
Entity
Organization
Contact information
Practice address
2151 SKYLINE RANCH RD, RAPID CITY, SD 57701-8943
(605) 348-5321
Mailing address
2151 SKYLINE RANCH RD, RAPID CITY, SD 57701-8943
(605) 348-5321
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
1051
SD
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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