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Individual

JUSTIN DAVID TUNTLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1210 W 18TH ST, STE 100, SIOUX FALLS, SD 57104-9890
(605) 312-8500
(605) 312-8501
Mailing address
PO BOX 5074, STE 104, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000873
SD
363LF0000X
Family Nurse Practitioner
00896893
SD

Other

Enumeration date
07/18/2014
Last updated
02/14/2021
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