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Individual

ALISSA JO BRUMMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6100 S LOUISE AVE STE 1120, SIOUX FALLS, SD 57108-6021
(605) 504-1700
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55227
MN
207R00000X
Internal Medicine Physician
Primary
9223
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01165231
RAILROAD MEDICARE
MN
Enumeration date
06/14/2011
Last updated
10/31/2019
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