Individual
MADALYN RAE LIEBL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6100 S LOUISE AVE, SIOUX FALLS, SD 57108-6029
(605) 504-1000
Mailing address
7516 S BELL CIR, SIOUX FALLS, SD 57108-5909
(507) 430-9895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1552
SD
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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