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Individual

DR. MICHAEL COALE DEVISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6100 S LOUISE AVE STE 2100, SIOUX FALLS, SD 57108-6021
(605) 504-1100
Mailing address
911 E. 20TH ST., STE. 300, SIOUX FALLS, SD 57105-1045
(605) 322-1300
(605) 322-1301

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10219
SD
207X00000X
Orthopaedic Surgery Physician
5101016956
MI
207X00000X
Orthopaedic Surgery Physician
P0036
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302937302
TX
Enumeration date
04/20/2007
Last updated
10/31/2019
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