Individual
MARY W BEECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
323 SW 10TH ST, MADISON, SD 57042-3200
(605) 256-6551
(605) 256-6469
Mailing address
323 SW 10TH ST, MADISON, SD 57042-3200
(605) 256-6551
(605) 256-6469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1662
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5604020
—
SD
Enumeration date
12/22/2005
Last updated
02/22/2017
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