Individual
MEREDITH L HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1210 W 18TH ST, STE LL03, SIOUX FALLS, SD 57104-4647
(605) 328-1410
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
40114
IA
2085R0202X
Diagnostic Radiology Physician
46654
MN
2085R0202X
Diagnostic Radiology Physician
Primary
8344
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198435700
—
MN
05
—
34916600
—
WI
05
—
ENROLLED
—
IA
01
—
P00970224
RAILROAD MEDICARE
MN
Enumeration date
01/05/2006
Last updated
06/13/2022
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