Individual
ALEXANDRA KATHRYN MIMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4201 S MINNESOTA AVE, SIOUX FALLS, SD 57105-6705
(605) 335-3349
Mailing address
4017 S CATCHER CT, SIOUX FALLS, SD 57110-6868
(605) 321-0552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1296
SD
Other
Enumeration date
04/23/2021
Last updated
03/22/2024
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