Individual
CY B HAATVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 KANSAS AVE SE, HURON, SD 57350-2522
(605) 352-8767
(605) 352-8784
Mailing address
PO BOX 1411, HURON, SD 57350-1411
(605) 352-8767
(605) 352-8784
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3838
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003451
WELLMARK
SD
01
—
020026365
RAILROAD MEDICARE
SD
01
—
3838
DAKOTACARE
SD
05
—
7300560
—
SD
Enumeration date
06/20/2005
Last updated
11/03/2009
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