Organization
SANFORD CLINIC
Active
Other names
Sanford Clinic Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE GEOTSCH (CFO)
(605) 328-4538
Entity
Organization
Contact information
Practice address
1210 W 18TH ST, SUITE G01, SIOUX FALLS, SD 57104-4647
(605) 328-1750
(605) 328-1751
Mailing address
1210 W 18TH ST, SUITE G01, SIOUX FALLS, SD 57104-4647
(605) 328-1750
(605) 328-1751
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0562025
—
IA
05
—
684424300
—
MN
Enumeration date
07/31/2006
Last updated
11/27/2023
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