Individual
IVAN J ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
209 W MAIN, CANISTOTA, SD 57012
(605) 296-3431
(605) 296-3565
Mailing address
PO BOX 157, CANISTOTA, SD 57012-0157
(605) 296-3431
(605) 296-3565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
556
SD
Other
Enumeration date
06/16/2006
Last updated
09/15/2011
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