Organization
WAPITI MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY A MCDONALD MD (PRESIDENT)
(605) 432-6621
Entity
Organization
Contact information
Practice address
603 S DAKOTA ST, MILBANK, SD 57252-0523
(605) 432-6621
(605) 432-5669
Mailing address
603 S DAKOTA ST, MILBANK, SD 57252-0523
(605) 432-6621
(605) 432-5669
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278J4BA
237J2WA
MN
Enumeration date
05/10/2007
Last updated
08/22/2020
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