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Individual

ANDREW M SOLARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-2000
Mailing address
1325 S CLIFF AVE, EMERGENCY STE, SIOUX FALLS, SD 57105-1007
(605) 322-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5470
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001837700
FL
01
0042413
BLUE CROSS OF SD
SD
05
0584797
IA
01
322K3SO
MN BC PROVIDER #
MN
05
46022474331
NE
05
507414200
MN
01
5470
DAKOTACARE
SD
05
6631040
SD
Enumeration date
07/29/2006
Last updated
07/21/2022
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