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Individual

MARY WIPF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4011 W BENSON RD, SIOUX FALLS, SD 57107-0104
(605) 322-1500
(605) 322-1510
Mailing address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 336-2140
(605) 336-1677

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0946
SD

Other

Enumeration date
09/23/2014
Last updated
09/29/2020
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