Individual
DANNICA CALLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 4TH ST SE, LAKE PRESTON, SD 57249-2116
(605) 847-4484
(605) 847-4732
Mailing address
709 4TH ST SE, LAKE PRESTON, SD 57249-2116
(605) 847-4484
(605) 847-4732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000817
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP000817
LICENSE
SD
Enumeration date
10/22/2013
Last updated
10/22/2013
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