Individual
DANETTE RAE BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2549
(605) 332-2883
(605) 312-9032
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0712
SD
363A00000X
Physician Assistant
Primary
0835
SD
363A00000X
Physician Assistant
10669
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6831820
—
SD
Enumeration date
02/27/2009
Last updated
04/19/2022
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