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Individual

KEVIN L BJORDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
803 E MILBANK AVE, MILBANK, SD 57252-1413
(605) 432-4587
(605) 432-4580
Mailing address
14390 SD HIGHWAY 15, MILBANK, SD 57252-5415
(605) 949-0051

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1589
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5604166
SD
05
753278400
MN
Enumeration date
04/17/2006
Last updated
03/07/2023
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