Individual
DARREN MANTHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57117-5039
(605) 333-1000
Mailing address
1305 W 18TH ST, PO BOX 5039, SIOUX FALLS, SD 57117-5039
(605) 333-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5668
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6631170
—
SD
Enumeration date
08/11/2006
Last updated
11/16/2007
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