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Individual

DR. GEORGE CRAIG KISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 S PENN ST STE 202, ABERDEEN, SD 57401-4553
(605) 225-7326
(605) 622-2804
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2876
(605) 622-2804

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD13162
OR
208800000X
Urology Physician
1459
SD
208800000X
Urology Physician
Primary
9355
SD
208800000X
Urology Physician
LT19814
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150185
OR
01
931220753
TAX ID
OR
Enumeration date
10/11/2005
Last updated
06/15/2023
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