Individual
EDWARD L BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1417 S. CLIFF AVE., STE. 300, SIOUX FALLS, SD 57105-1062
(605) 322-8630
(605) 322-8631
Mailing address
2400 S. MINNESOTA AVE., STE. 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
5516
SD
207RG0100X
Gastroenterology Physician
Primary
9339
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11660
MIDLANDS CHOICE
SD
01
—
186P6BU
CC SYSTEMS/ BLUE PLUS
MN
01
—
2391537
ARAZ/ AMERICA'S PPO
SD
01
—
2900425
MEDICA
SD
05
—
3185967
—
IA
01
—
370624200
DEPT OF LABOR
SD
01
—
45358
SANFORD HEALTH PLAN
SD
05
—
46022474338
—
NE
01
—
4994677
BLUE CROSS
SD
01
—
5516
DAKOTACARE
SD
01
—
57105B031
WPS TRICARE
SD
05
—
6005120
—
SD
01
—
769171045255
PREFERRED ONE
SD
05
—
789434100
—
MN
01
—
92411422906
PRIMEWEST
MN
01
—
HP55732
HEALTHPARTNERS
SD
Enumeration date
04/11/2006
Last updated
11/25/2014
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