Individual
RICHARD E. ZIESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1727 S CLEVELAND AVE, SIOUX FALLS, SD 57103-3245
(605) 275-5560
(605) 275-5562
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0492
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6823990
—
SD
Enumeration date
06/09/2005
Last updated
07/31/2012
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