| Midwestern Endocrinology Ltd | |
|
3926 S Western Ave Sioux Falls SD 57105-6513 | |
| (605) 275-6525 | |
| (605) 275-6970 |
| Full Name | Midwestern Endocrinology Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 3926 S Western Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Mark J Oppenheimer (OWNER/PROVIDER) |
| Authorized Official Contact | 6052756525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwestern Endocrinology Ltd Po Box 5126 Sioux Falls SD 57117-5126 Ph: (605) 335-1952 | Midwestern Endocrinology Ltd 3926 S Western Ave Sioux Falls SD 57105-6513 Ph: (605) 275-6525 |
| NPI Number | 1942230636 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 02/21/2013 |
| Medicare PECOS PAC ID | 3274586979 |
|---|---|
| Medicare Enrollment ID | O20050222000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942230636 | NPI | - | NPPES |
| 494R1MI | Other | MN | BCBS |
| DC8611 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 0439 (South Dakota) | Primary |
| Provider Name | Mark J Oppenheimer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689640187 PECOS PAC ID: 3173574779 Enrollment ID: I20050201000361 |
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