Individual
STASIA ELLEN IWUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
1020 W 18TH ST, SIOUX FALLS, SD 57104-4707
(605) 444-9718
(605) 444-9701
Mailing address
1020 W 18TH ST, SIOUX FALLS, SD 57104-4707
(605) 444-9718
(605) 444-9701
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
04/22/2022
Last updated
06/02/2022
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