Individual
JOSEPH MATTHEW STATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 S MARION RD, SIOUX FALLS, SD 57106-3636
(605) 361-3347
Mailing address
4504 S DULUTH AVE, SIOUX FALLS, SD 57105-6735
(605) 338-4764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4229
SD
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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