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Individual

MARK S MONASKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2805 5TH ST, 100, RAPID CITY, SD 57701-7306
(605) 719-5700
(605) 719-5701
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
(605) 719-7109
(605) 719-1027

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
5011
SD
207T00000X
Neurological Surgery Physician
6592
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00128449
RR MEDICARE
ND
Enumeration date
10/26/2006
Last updated
10/19/2012
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