Organization
DIABETES AND ENDOCRINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE J BRANDT (BUSINESS MANAGER)
(605) 335-1952
Entity
Organization
Contact information
Practice address
1320 S MINNESOTA AVE STE 102, SIOUX FALLS, SD 57105-0656
(605) 334-8387
(605) 334-0710
Mailing address
1320 S MINNESOTA AVE STE 102, SIOUX FALLS, SD 57105-0656
(605) 334-8387
(605) 334-0710
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97725DI
BCBS
MN
01
—
CS1193
RAILROAD MEDICARE
—
Enumeration date
07/13/2006
Last updated
02/21/2013
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