Individual
CARYN M. WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2549
(605) 328-5800
(605) 328-5814
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4429
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5602913
—
SD
Enumeration date
07/22/2005
Last updated
04/08/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us