| Miss Mary Jean Wallin, CERTIFIED NURSE MIDW | |
|
1500 W 22nd St Ste 301, Sanford Health Maternal Fetal Medicine Clinic, Sioux Falls, SD 57105-1503 | |
| (605) 328-7700 | |
| (605) 328-7775 |
| Full Name | Miss Mary Jean Wallin |
|---|---|
| Gender | Female |
| Speciality | Midwife |
| Location | 1500 W 22nd St Ste 301, Sioux Falls, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720084486 | NPI | - | NPPES |
| 6540104 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 0023 (South Dakota) | Secondary |
| 176B00000X | Midwife | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Mary Jean Wallin, CERTIFIED NURSE MIDW Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Miss Mary Jean Wallin, CERTIFIED NURSE MIDW 1500 W 22nd St Ste 301, Sanford Health Maternal Fetal Medicine Clinic, Sioux Falls, SD 57105-1503 Ph: (605) 328-7700 |