Individual
DR. DERRICK JOHN ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
209 W MAIN ST, CANISTOTA, SD 57012-0157
(605) 296-3431
(605) 296-3565
Mailing address
PO BOX 157, 209 W MAIN ST, CANISTOTA, SD 57012-0157
(605) 296-3431
(605) 296-3565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1157
SD
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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