Individual
MR. DARYL R WIERDA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1417 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1715
(605) 336-0515
(605) 336-0812
Mailing address
1417 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1715
(605) 336-0515
(605) 336-0812
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2025
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200310
—
SD
Enumeration date
04/14/2006
Last updated
07/08/2007
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