Individual
MICHAEL D HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4520 W 69TH ST, NORTH CENTRAL HEART INSTITUTE, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
PO BOX 5009, SIOUX FALLS, SD 57117-5009
(605) 977-5000
(605) 977-5377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
3566
SD
207RI0011X
Interventional Cardiology Physician
3566
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003875
SD BCBS
SD
05
—
052307100
—
MN
01
—
165026
UCARE
—
01
—
24678
HEALTH PARTNERS
—
05
—
2997700
—
IA
01
—
3566
DAKOTACARE
SD
01
—
538R9HI
MN BCBS - PLAN 538R2NO
MN
01
—
53990
IA BCBS
IA
05
—
6002593
—
SD
01
—
7D930HI
MN BCBS - PLAN 91057NO
MN
01
—
931451029034
PREFERRED ONE
—
Enumeration date
05/04/2006
Last updated
08/18/2021
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