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Individual

DAVID H KOVALESKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-2460
(605) 322-2470
Mailing address
2400 S. MINNESOTA AVE, STE 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5391
SD
208M00000X
Hospitalist Physician
S5391
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0581967
IA
05
12903
ND
01
2235973
ARAZ/ AMERICA'S PPO
SD
01
243567
MIDLANDS CHOICE
SD
01
296L1KO
BLUE CROSS
MN
01
3100230
MEDICA
SD
01
36792
SANFORD HEALTH PLAN
SD
01
37494
BLUE CROSS
IA
01
406751041580
PREFERRED ONE
SD
05
46022474344
NE
01
4995328
BLUE CROSS
SD
01
5391
DAKOTACARE
SD
01
57105P007
WPS TRICARE
SD
05
6004880
SD
05
704448800
MN
01
HP43042
HEALTHPARTNERS
SD
01
P00191474
RR MEDICARE
SD
Enumeration date
02/23/2006
Last updated
12/20/2013
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