Individual
JACOB LEWIS HEMENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
7220 MOUNT RUSHMORE RD, RAPID CITY, SD 57702-8754
(605) 341-1414
(605) 341-7062
Mailing address
PO BOX 6850, RAPID CITY, SD 57709-6850
(605) 341-1414
(605) 341-7062
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
07/16/2024
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