Individual
MADELYN KOISTINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
Mailing address
46340 192ND ST, ESTELLINE, SD 57234-6025
(406) 600-4931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R054703
SD
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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