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Individual

DR. DAVID A ELLERBUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N SYCAMORE AVE, SIOUX FALLS, SD 57110-5745
(605) 328-2999
Mailing address
600 N SYCAMORE AVE, SIOUX FALLS, SD 57110-5745
(605) 328-2999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1514
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5603853
SD
Enumeration date
06/09/2005
Last updated
05/08/2008
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