Organization
STATE OF SOUTH DAKOTA DIVISION OF OASI
Active
Other names
South Dakota Department of Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARI JEAN WEISBECK (ADMINISTRATOR)
(605) 773-4939
Entity
Organization
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-7179
(605) 328-1148
Mailing address
600 E CAPITOL AVE, PIERRE, SD 57501-2536
(605) 773-3361
(605) 773-5683
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5400080
—
SD
Enumeration date
07/18/2006
Last updated
07/11/2008
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