Individual
BENJAMIN ANDREW STUKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
114 E 6TH ST, GREGORY, SD 57533
(605) 835-8737
(605) 835-8738
Mailing address
34605 284TH ST, BURKE, SD 57523
(605) 775-9077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1030
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10025344000
MEDICAID
NE
05
—
7601972
—
SD
Enumeration date
09/29/2006
Last updated
02/06/2020
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