Individual
DR. TERESA ANN MARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 E 8TH ST, WINNER, SD 57580-2688
(605) 842-2626
(605) 842-3557
Mailing address
825 E 8TH ST, WINNER, SD 57580-2688
(605) 842-2626
(605) 842-3557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4751
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0851370001
DME
—
05
—
5601560
—
SD
05
—
5601563
—
SD
05
—
5601564
—
SD
Enumeration date
10/17/2006
Last updated
11/27/2013
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