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Organization

OBGYN SPECIALTY CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH DIMITRIEVICH MD (PRESIDENT)
(605) 338-0836
Entity
Organization

Contact information

Practice address
625 W 18TH ST, SIOUX FALLS, SD 57105
(605) 338-0836
(605) 338-7890
Mailing address
625 W 18TH ST, SIOUX FALLS, SD 57105
(605) 338-0836
(605) 338-7890

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3478
SD

Other

Enumeration date
12/04/2007
Last updated
04/11/2011
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