Individual
MR. TERRENCE JOSEPH JATCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
(605) 234-5511
Mailing address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
(605) 234-5511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001195
SD
Other
Enumeration date
08/11/2016
Last updated
02/27/2017
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