Organization
SANFORD CLINIC
Active
Other names
Sanford Clinic VanDemark Orthopedic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE W GOETSCH (CFO)
(605) 328-6940
Entity
Organization
Contact information
Practice address
1210 W 18TH ST, STE G01, SIOUX FALLS, SD 57104-4647
(605) 328-3700
(605) 328-3701
Mailing address
1210 W 18TH ST, STE G01, SIOUX FALLS, SD 57104-4647
(605) 328-3700
(605) 328-3701
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537860
—
IA
05
—
123420000
—
MN
Enumeration date
07/07/2006
Last updated
11/27/2023
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