Individual
SYLVIA M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 OAK STREET, FAULKTON, SD 57438-0100
(605) 598-6262
(605) 598-4199
Mailing address
1300 OAK STREET, FAULKTON, SD 57438-0100
(605) 598-6262
(605) 598-4199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5882
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13160
—
ND
05
—
5611890
—
SD
01
—
5882
SD STATE BOARD OF MEDICAL
SD
01
—
9764
NEW GRADUATE
ND
Enumeration date
08/22/2006
Last updated
11/13/2020
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