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Individual

LONNIE JOSEPH NEDVED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 S BURR ST, MITCHELL, SD 57301-4584
(605) 996-1050
(605) 996-1051
Mailing address
PO BOX 1203, MITCHELL, SD 57301-7203
(605) 996-1050
(605) 996-1051

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3477
SD
207V00000X
Obstetrics & Gynecology Physician
G48490
CA
207V00000X
Obstetrics & Gynecology Physician
MD00036138
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001708
WELLMARK BCBS
SD
01
21514
SIOUX VALLEY HEALTH PLAN
SD
01
3279
AVERA HEALTH PLAN
SD
01
3477/GRP#8732644
DAKOTACARE
SD
05
6200650
SD
Enumeration date
08/15/2005
Last updated
01/16/2008
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