Individual
AARON DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 W 18TH ST STE LL03, SIOUX FALLS, SD 57104-4654
(605) 328-1410
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
060.0004497
VT
2085R0202X
Diagnostic Radiology Physician
Primary
14480
SD
2085R0204X
Vascular & Interventional Radiology Physician
060.0004497
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2015
Last updated
06/27/2023
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