| David W Withrow, MD | |
|
1104 W 8th St, Yankton, SD 57078-3306 | |
| (605) 665-7841 | |
| (605) 665-0546 |
| Full Name | David W Withrow |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1104 W 8th St, Yankton, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043211634 | NPI | - | NPPES |
| 6700300 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 3702 (South Dakota) | Primary |
| Entity Name | Yankton Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447251350 PECOS PAC ID: 1850208778 Enrollment ID: O20040317000630 |
| Mailing Address | Practice Location Address |
|---|---|
| David W Withrow, MD 1104 W 8th St, Yankton, SD 57078-3306 Ph: (605) 665-7841 | David W Withrow, MD 1104 W 8th St, Yankton, SD 57078-3306 Ph: (605) 665-7841 |
Randolph W Heisinger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
Carroll Isburg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
Martha Holstein, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 | |
Dawn M Larson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
Dr. April Kay Willman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
Sara Pepper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 |