Individual
MARK J OPPENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3926 S WESTERN AVE, SIOUX FALLS, SD 57105-6513
(605) 275-6525
(605) 275-6970
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2757
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052785800
—
MN
05
—
10025206600
—
NE
05
—
2943845
—
IA
01
—
495R1OP
BCBS
MN
01
—
4994889
SD BCBS
SD
05
—
6002053
—
SD
01
—
P00194713
RAILROAD MEDICARE
—
Enumeration date
02/24/2006
Last updated
02/21/2013
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