Individual
LESLYE ANN WIPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
911 E 20TH ST, SIOUX FALLS, SD 57105-1048
(605) 322-7600
(605) 322-7601
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0270
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321J1BA
CC SYSTEMS/ BLUE PLUS
MN
01
—
39507
SANFORD HEALTH PLAN
SD
01
—
P00234263
MEDICA
SD
Enumeration date
02/23/2006
Last updated
02/25/2008
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