Organization
SANFORD CLINIC
Active
Other names
Sanford Eye Center & Optical
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE W GOETSCH (CFO)
(605) 328-6940
Entity
Organization
Contact information
Practice address
1621 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1743
(605) 328-9200
(605) 328-9201
Mailing address
1621 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1743
(605) 328-9200
(605) 328-9201
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537886
—
IA
05
—
281988100
—
MN
Enumeration date
07/14/2006
Last updated
02/22/2021
Update your record
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