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NPI Code Detail

MEDICARE: MICHAEL E. FARRITOR MD

MEDICARE:   MICHAEL E. FARRITOR  MD
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 Physician2533SD
2207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician2533SD

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 : 1710982996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL E. FARRITOR MD
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 605-328-9556
Fax Number :
Provider Business Practice Location Address
First Line : 1112 S LAKE AVE
Second Line : SUITE 201
City : SIOUX FALLS
State : SD
Zip : 57104
Country : US
Telephone Number : 605-312-5350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/19/2023

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Directions to “ MICHAEL E. FARRITOR MD” Practice Location

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