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Organization

GREGG M. TOBIN, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGG MORAN TOBIN M.D. (PRESIDENT)
(605) 842-1612
Entity
Organization

Contact information

Practice address
825 E 8TH ST STE 202, WINNER, SD 57580-2633
(605) 842-1612
(605) 842-3837
Mailing address
PO BOX 651, WINNER, SD 57580-0651
(605) 842-1612
(605) 842-3837

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0195
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4999933
WELLMARK BC/BS
Enumeration date
02/03/2007
Last updated
02/24/2015
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