Individual
DR. MANDY MARIE ROUNSEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4948 E 57TH ST, SIOUX FALLS, SD 57108
(605) 306-3050
(605) 306-3052
Mailing address
1431 S OVERBROOK AVE, SPRINGFIELD, MO 65807-1248
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2007012805
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090217110537596
—
MO
Enumeration date
05/17/2007
Last updated
08/09/2018
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