Individual
CHET MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2908 E 26TH ST, SIOUX FALLS, SD 57103
(605) 336-2638
(605) 334-4500
Mailing address
2908 E 26TH STREET, SIOUX FALLS, SD 57103-4034
(605) 336-2638
(605) 334-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1018
SD
363A00000X
Physician Assistant
12284
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010887
—
SD
01
—
S110275
SD MEDICARE
SD
Enumeration date
07/20/2015
Last updated
07/31/2018
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