Organization
HEALTHSOURCE OF SIOUX FALLS WEST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TIMOTHY CLARKE (PRESIDENT)
(605) 275-0040
Entity
Organization
Contact information
Practice address
6705 W 41ST ST, SIOUX FALLS, SD 57106-1290
(605) 275-0040
(605) 275-0041
Mailing address
6705 W 41ST ST, SIOUX FALLS, SD 57106-1290
(605) 275-0040
(605) 275-0041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1225
SD
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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