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Individual

MICHAEL E. FARRITOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1112 S LAKE AVE, SUITE 201, SIOUX FALLS, SD 57104
(605) 312-5350
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2533
SD
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2533
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5607482
SD
Enumeration date
06/15/2005
Last updated
07/19/2023
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