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Individual

MR. THOMAS JOHN HUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
521 E SIOUX AVE, PIERRE, SD 57501-3142
(605) 945-5560
(605) 224-0369
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-4538
(605) 328-4531

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2294
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201750841
TAX ID
SD
01
2294
DAKOTACARE
SD
01
27032
SVHP
SD
01
4995175
BCBS
SD
05
5601844
SD
Enumeration date
06/08/2006
Last updated
03/29/2022
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