Organization
DAKOTA ENT AND SINUS CLINIC, P.C.
Active
Organization
DAKOTA ENT AND SINUS CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GREGORY DESAUTEL MD (OWNER)
(605) 575-1000
Entity
Organization
Contact information
Practice address
6709 S MINNESOTA AVE, SUITE 206, SIOUX FALLS, SD 57108-2592
(605) 575-1000
(605) 575-1004
Mailing address
6709 S MINNESOTA AVE, SUITE 206, SIOUX FALLS, SD 57108-2592
(605) 575-1000
(605) 575-1004
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
207YX0901X
Otology & Neurotology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
Other
Enumeration date
10/11/2012
Last updated
12/10/2012
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