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Individual

MICHAL PUTZKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-7260
Mailing address
8009 W CHESAPEAKE LN, SIOUX FALLS, SD 57106-5194
(605) 212-5741

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001048
SD
363LF0000X
Family Nurse Practitioner
CP001048
SD

Other

Enumeration date
03/16/2016
Last updated
02/15/2020
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