Individual
EDWARD ROBERT MAILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4405 E 26TH ST, SIOUX FALLS, SD 57103-4187
(605) 328-9080
(605) 328-9081
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4720
SD
Other
Enumeration date
05/20/2006
Last updated
03/31/2022
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