Individual
DR. JESSE LEE DIRKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1508 W 22ND ST STE 101, SIOUX FALLS, SD 57105-1514
(605) 328-3840
(605) 328-3841
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8404
SD
208600000X
Surgery Physician
MT189424
PA
Other
Enumeration date
07/25/2007
Last updated
02/26/2013
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