Individual
MARA RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 NE 9TH ST, MADISON, SD 57042-1104
(605) 270-1752
Mailing address
SOUTH DAKOTA STATE UNIVERSITY, ADMIN (SAD) 100 BOX:2201, BROOKINGS, SD 57007
(605) 270-1752
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0448
SD
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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