Individual
MICHAEL L NOORDSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1210 W 18TH ST, STE LL03, SIOUX FALLS, SD 57104-4647
(605) 328-1410
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0563
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6825570
—
SD
Enumeration date
06/30/2005
Last updated
06/19/2012
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