Organization
UROLOGY SPECIALISTS CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY WEEKS MSN RN (CEO/CAO)
(605) 444-5409
Entity
Organization
Contact information
Practice address
201 W 69TH ST, SIOUX FALLS, SD 57108-2403
(605) 336-0635
(605) 336-7182
Mailing address
201 W 69TH ST, SIOUX FALLS, SD 57108-2403
(605) 336-0635
(605) 336-7182
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000019
BCBS OF SD
SD
01
—
04794UR
BCBS OF MN
SD
05
—
0700698
—
IA
01
—
48345HA
BCBS OF MN
MN
05
—
856710700
—
MN
01
—
CE2389
MEDICARE RAILROAD GROUP
SD
Enumeration date
05/18/2006
Last updated
12/02/2025
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