Individual
MICHAEL RICARD PUUMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 S. CLIFF AVE, STE 610, SIOUX FALLS, SD 57105-1032
(605) 322-8860
(605) 322-8868
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4116
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025568900
—
NE
01
—
1821021304
ARAZ/ AMERICA'S PPO
SD
05
—
1821021304
—
IA
01
—
232615
MIDLANDS CHOICE
SD
01
—
41161
DAKOTACARE
SD
01
—
46L91PU
CC SYSTEMS/ BLUE PLUS
MN
01
—
4992697
BLUE CROSS
SD
01
—
57105AT03
WPS TRICARE
SD
05
—
6100473
—
SD
05
—
820816600
—
MN
01
—
C83141030612
PREFERRED ONE
—
01
—
HP43169
HEALTHPARTNERS
SD
Enumeration date
07/08/2006
Last updated
10/16/2018
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