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Individual

MS. MOLLI SEYDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1310 W 22ND ST, SIOUX FALLS, SD 57105-1501
(605) 328-8200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11902
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11902
MN DEPT OF MEDICINE LICENSE
MN
Enumeration date
07/08/2015
Last updated
10/11/2024
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