Individual
KRISTINE THAYER DANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 W STEAMBOAT DR, STE 300, DAKOTA DUNES, SD 57049-5333
(605) 217-2175
(605) 217-2185
Mailing address
814 PIERCE ST, STE 102, SIOUX CITY, IA 51101-1058
(712) 226-2600
(712) 226-2605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1453
NE
207Q00000X
Family Medicine Physician
Primary
31265
IA
207Q00000X
Family Medicine Physician
5316
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150885063
—
IA
05
—
7705393
—
SD
Enumeration date
09/02/2005
Last updated
01/31/2011
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