Individual
CHELSEA DEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 OAK ST, FAULKTON, SD 57438-2149
(605) 598-6262
Mailing address
35147 163RD ST, FAULKTON, SD 57438-6710
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1747
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5306900
—
SD
Enumeration date
07/09/2014
Last updated
07/09/2014
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