Organization
SANFORD MEDICAL CENTER
Active
Parent organization
SANFORD MEDICAL CENTER
Other names
Sanford USD Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANFORD MEDICAL CENTER
Authorized official
MICHELLE A BRUHN (CFO)
(605) 333-6450
Entity
Organization
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230010
—
SD
05
—
875747000
—
MN
Enumeration date
11/21/2007
Last updated
11/27/2023
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