Organization
INTERLAKES MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA SAMPLE (OFFICE MANAGER)
(605) 256-6951
Entity
Organization
Contact information
Practice address
903 N WASHINGTON AVE, MADISON, SD 57042-1634
(605) 256-6951
(605) 256-6953
Mailing address
903 N WASHINGTON AVE, MADISON, SD 57042-1634
(605) 256-6951
(605) 256-6953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0233
SD
Other
Enumeration date
02/24/2006
Last updated
09/24/2009
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