Organization
SANFORD CLINIC
Active
Other names
Sanford Clinic Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE GOETSCH (CFO)
(605) 328-6940
Entity
Organization
Contact information
Practice address
1210 W 18TH ST, STE 100, SIOUX FALLS, SD 57104-9890
(605) 312-8500
(605) 312-8501
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537886
—
IA
05
—
281988100
—
MN
Enumeration date
07/31/2006
Last updated
10/08/2015
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