Individual
DR. STEPHEN EDWARD WASEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 5TH ST, RAPID CITY, SD 57701-6022
(605) 755-4300
Mailing address
4150 5TH ST, RAPID CITY, SD 57701-6022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A139538
CA
207RC0000X
Cardiovascular Disease Physician
Primary
11908
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2014
Last updated
07/15/2020
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