Individual
MYRON P SORESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0562
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0562
DAKOTACARE
SD
01
—
22924
SANFORD HEALTH
SD
01
—
4998878
WELLMARK
SD
05
—
5831210
—
SD
Enumeration date
03/22/2006
Last updated
12/03/2011
Update your record
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