Individual
DR. CLYDE A DIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
337 SOUTH MAIN ST, WINNER, SD 57580-1728
(605) 842-0544
(605) 842-0544
Mailing address
337 SOUTH MAIN ST, WINNER, SD 57580-1728
(605) 842-0544
(605) 842-0544
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
826
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003826
BCBS
SD
01
—
18336
MEDICAID
ND
01
—
241873
MIDLANDS CHOICE
—
01
—
26403
BCBS
NE
01
—
33246
SIOUX VALLEY HEALTH PLAN
—
01
—
410238
ACN
—
05
—
7600320
—
SD
Enumeration date
02/08/2006
Last updated
08/20/2017
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