Individual
MICHELE R ROHDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W PIONEER, VIBORG, SD 57070
(605) 326-5201
Mailing address
PO BOX 368, VIBORG, SD 57070-0368
(605) 326-5161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001067
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015023823
CERTIFICATION
—
01
—
CP001067
LICENSE
SD
Enumeration date
08/28/2016
Last updated
08/28/2016
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