Organization
MIDWEST STREET MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON EMRY MD (MEDICAL DIRECTOR)
(605) 370-3054
Entity
Organization
Contact information
Practice address
701 E 8TH ST, SIOUX FALLS, SD 57103-1632
(605) 334-6732
Mailing address
605 S NICHOLAS CIR, BRANDON, SD 57005-1162
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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