Individual
VICTORIA J ANTLE-VLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W 4TH ST, SUITE 13, YANKTON, SD 57078-3730
(605) 668-8795
(605) 668-9705
Mailing address
1000 W 4TH ST, SUITE 13, YANKTON, SD 57078-3730
(605) 668-8795
(605) 668-9705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8743
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100363610B
—
KS
05
—
202996088
—
MO
01
—
8743
STATE LICENSE
SD
Enumeration date
07/06/2006
Last updated
02/18/2016
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