Individual
DR. RICHARD J. GUDVANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 22ND AVE., BROOKINGS, SD 57006-2497
(605) 697-9500
(605) 967-6939
Mailing address
400 22ND AVE., BROOKINGS, SD 57006-2497
(605) 697-9500
(605) 967-6939
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4633S
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6201212
—
SD
Enumeration date
05/04/2006
Last updated
04/29/2008
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