Organization
TSCHETTER & HOHM CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK A ROTERT (BUSINESS MANAGER)
(605) 352-8767
Entity
Organization
Contact information
Practice address
455 KANSAS AVE SE, HURON, SD 57350-2522
(605) 352-8767
(605) 352-8784
Mailing address
PO BOX 1411, HURON, SD 57350-1411
(605) 352-8767
(605) 352-8784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0277
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000101
WELLMARK
SD
01
—
CD4379
RAILROAD MEDICARE
SD
Enumeration date
08/09/2006
Last updated
11/03/2009
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