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Individual

DR. CYNTHIA ANN COMLY-VAN ANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6101 S LOUISE AVE, SIOUX FALLS, SD 57108-5981
(605) 312-8000
(605) 312-8001
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004-0082
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03824551
NM
01
NM400317
MEDICARE PTAN
NM
Enumeration date
08/31/2005
Last updated
08/20/2021
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