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Individual

G PATRICK RIEDMANN JR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1310 W 22ND ST, SIOUX FALLS, SD 57105-1501
(605) 328-8200
(605) 328-8229
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0873
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52938832
CO
Enumeration date
10/15/2006
Last updated
04/29/2022
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