Individual
LEONARD MARK GUTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6100 S LOUISE AVE STE 1120, SIOUX FALLS, SD 57108-6021
(605) 504-1700
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2478
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005586
BLUE CROSS
SD
01
—
0404413
MEDICA
SD
01
—
110211778
RR MEDICARE
SD
05
—
12262
—
ND
01
—
1526
MIDLANDS CHOICE
SD
01
—
23146
ARAZ/ AMERICA'S PPO
SD
01
—
2478
DAKOTACARE
SD
01
—
24850
SANFORD HEALTH PLAN
SD
05
—
2920900
—
IA
01
—
30B75GU
CC SYSTEMS/ BLUE PLUS
MN
01
—
370624200
DEPT OF LABOR
SD
05
—
46022474335
—
NE
01
—
57105F002
WPS TRICARE
SD
05
—
6000623
—
SD
01
—
769201017553
PREFERRED ONE
SD
05
—
914505200
—
MN
01
—
92411422901
PRIMEWEST
MN
01
—
HP32254
HEALTHPARTNERS
SD
Enumeration date
02/17/2006
Last updated
10/31/2019
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