Individual
TAMI MARIE WOLBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-7905
Mailing address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-7905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0603
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080878
PRIMEWEST
MN
01
—
0125932
MEDICA
SD
05
—
0594416
—
IA
05
—
13414
—
ND
01
—
252487
MIDLANDS CHOICE
SD
01
—
310C0WO
BLUE CROSS
MN
01
—
370624200
DEPT OF LABOR
SD
01
—
460224743296
ARAZ/ AMERICA'S PPO
SD
05
—
46022474339
—
NE
01
—
4993297
BLUE CROSS
SD
01
—
57105I016
WPS TRICARE
SD
05
—
651613000
—
MN
01
—
722801049464
PREFERRED ONE
SD
01
—
9240696
DAKOTACARE
SD
01
—
HP76323
HEALTHPARTNERS
SD
Enumeration date
12/08/2005
Last updated
05/09/2017
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