Healthcare Provider Details

I. General information

NPI: 1477934842
Provider Name (Legal Business Name): EMILY ABELE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 01/15/2020
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 22ND AVE
BROOKINGS SD
57006-2474
US

IV. Provider business mailing address

310 22ND AVE
BROOKINGS SD
57006-2474
US

V. Phone/Fax

Practice location:
  • Phone: 605-696-2700
  • Fax:
Mailing address:
  • Phone: 605-696-2700
  • Fax: 402-559-9416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number11609
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: