Individual
THOMAS ALLEN VIERECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001582
SD
Other
Enumeration date
06/12/2019
Last updated
07/03/2020
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