MEDICARE: MARIAH VANORMAN DC

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
1	111N00000X	Chiropractor	1517	SD

General Provider Information

NPI Number	:	1801787320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAH VANORMAN DC

Provider Business Mailing Address
First Line	:	5413 S HUNTWOOD AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-3027
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5413 S HUNTWOOD AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-3027
Country	:	US
Telephone Number	:	507-227-9458
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2025
Last Update Date	:	07/12/2025

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Directions to “ MARIAH VANORMAN DC” Practice Location

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