Individual
LUANN EIDSNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1205 S GRANGE AVE, STE 510, SIOUX FALLS, SD 57105-0407
(605) 328-0020
(605) 328-0021
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 312-7607
(605) 312-7611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3342
SD
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
3342
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563007000
—
MN
05
—
6002040
—
SD
Enumeration date
08/31/2005
Last updated
10/25/2019
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