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Individual

DR. PETER A ANDREONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108
(605) 977-5000
(605) 977-5377
Mailing address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
3542
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002118
SD BCBS
SD
01
120334
UCARE
MN
01
18-00050
SELECTCARE
01
1M423AN
MN BLUE SHIELD
MN
01
3542
DAKOTACARE
SD
01
494L0AN
BLUE SHIELD MN FACILITIES
MN
05
6002500
SD
01
931451029028
PREFERRED ONE
01
939116
IA BCBS
IA
05
983288
IA
Enumeration date
10/10/2005
Last updated
03/25/2008
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