Individual
LARRY D FOSTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 SIOUX POINT RD, SUITE 100, DAKOTA DUNES, SD 57049
(605) 217-5500
(605) 217-5515
Mailing address
705 SIOUX POINT RD, SUITE 100, DAKOTA DUNES, SD 57049
(605) 217-5500
(605) 217-5515
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1699
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128421
—
IA
05
—
7302020
—
SD
Enumeration date
02/24/2006
Last updated
07/08/2007
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