Individual
MR. DANIEL KERBY HEYDUK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
153 S MAIN, MISSION, SD 57555
(605) 856-2295
(605) 856-2755
Mailing address
PO BOX 410, WHITE RIVER, SD 57579-0410
(605) 259-3333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0420
SD
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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