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NPI Code Detail

MEDICARE: AARON J TRYGSTAD M.D.

MEDICARE: AARON J TRYGSTAD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician47809MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598745994
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON J TRYGSTAD M.D.
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 S ELLIS RD
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-7067
Country : US
Telephone Number : 605-312-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 11/08/2022

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