Individual
DANA JEANE VAN MIDDENDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-8000
Mailing address
1200 N GRANT ST, CANTON, SD 57013-1014
(605) 951-5262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001418
SD
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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