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Individual

DANIELLE L SKOGLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
201 W 69TH ST, SIOUX FALLS, SD 57108-2424
(605) 336-0635
(605) 271-0543
Mailing address
201 W 69TH ST, SIOUX FALLS, SD 57108-2424
(605) 336-0635
(605) 271-0543

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0729
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6832810
SD
Enumeration date
12/16/2009
Last updated
12/05/2013
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