Individual
DR. COLETTE A DUCHENEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1309 10TH AVE W, MOBRIDGE, SD 57601-1146
(605) 845-3692
(605) 845-8252
Mailing address
1309 10TH AVE W, MOBRIDGE, SD 57601-1146
(605) 845-3692
(605) 845-8252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5075
SD
207Q00000X
Family Medicine Physician
9037
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417910373
—
SD
05
—
5549050
—
SD
05
—
8611820
—
SD
Enumeration date
04/10/2006
Last updated
07/05/2016
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