Individual
DR. MARK THOMAS VERCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6100 S LOUISE AVE STE 1130, SIOUX FALLS, SD 57108-6030
(605) 504-1600
(605) 504-1601
Mailing address
6100 S LOUISE AVE STE 1130, SIOUX FALLS, SD 57108-6030
(605) 504-1600
(605) 504-1601
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
11620
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M47140248
MEDICARE PTAN
IN
Enumeration date
04/26/2012
Last updated
11/25/2020
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