Individual
BRIAN WUESTEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
(605) 333-6828
Mailing address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
(605) 333-6835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0551
SD
Other
Enumeration date
07/10/2006
Last updated
03/15/2013
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