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Individual

DR. KEVIN J VASKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6709 S MINNESOTA AVE STE 101, SIOUX FALLS, SD 57108-2593
(605) 274-6300
(877) 616-4723
Mailing address
6709 S MINNESOTA AVE STE 101, SIOUX FALLS, SD 57108-2593
(605) 274-6300
(877) 616-4723

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1537
SD
207RC0000X
Cardiovascular Disease Physician
27508-020
WI
207RC0000X
Cardiovascular Disease Physician
29328
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1975466
IA
01
29269
BCBS
IA
05
304585400
MN
01
4993515
BCBS
SD
05
6002432
SD
01
P00380386
RAILROAD MEDICARE
Enumeration date
10/05/2005
Last updated
02/21/2022
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