Individual
SETH SCHMOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104-4651
(605) 328-2663
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02004796A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
02004796A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
14276
SD
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
14276
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201231230
—
IN
Enumeration date
05/21/2014
Last updated
09/20/2023
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