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Individual

MARSHA K KADLECIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1905 W 57TH ST STE 1, SIOUX FALLS, SD 57108-2893
(605) 310-2000
(605) 274-1919
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001716
IA
363A00000X
Physician Assistant
Primary
0587
SD
363A00000X
Physician Assistant
10526
MN

Other

Enumeration date
03/07/2007
Last updated
08/17/2010
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