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Individual

MARK R HUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 E. 23RD ST., STE. 230, SIOUX FALLS, SD 57105-2122
(605) 322-6900
(605) 322-6901
Mailing address
2400 S. MINNESOTA AVE, STE 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5612
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0593988
IA
05
146682800
MN
01
2361646
ARAZ/ AMERICA'S PPO
SD
01
246830
MIDLANDS CHOICE
SD
01
3600589
MEDICA
SD
01
370624200
DEPT OF LABOR
SD
01
377G1HU
BLUE CROSS
MN
01
407191020165
PREFERRED ONE
SD
01
45374
SANFORD HEALTH PLAN
SD
05
46022474336
NE
01
4994628
BLUE CROSS
SD
01
5612
DAKOTACARE
SD
01
57105V007
WPS TRICARE
SD
05
6005140
SD
01
92411422903
PRIMEWEST
MN
01
HP52503
HEALTHPARTNERS
SD
01
P00269053
RR MEDICARE
SD
Enumeration date
02/24/2006
Last updated
12/12/2013
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