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Individual

MATTHEW D KRELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 S PLUM ST, VERMILLION, SD 57069-3306
(605) 624-8643
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4734
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6700044
SD
Enumeration date
08/02/2005
Last updated
07/08/2007
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