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Individual

TIMOTHY FAGERNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
911 E 20TH ST STE 300, SIOUX FALLS, SD 57105-1045
(605) 504-1100
Mailing address
4000 E 52ND ST, SIOUX FALLS, SD 57103-5448
(605) 359-8547

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
CP002523
SD

Other

Enumeration date
09/22/2022
Last updated
09/22/2022
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