Healthcare Provider Details

I. General information

NPI: 1285194340
Provider Name (Legal Business Name): DANIEL PETER KAUFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2019
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 W 69TH ST
SIOUX FALLS SD
57108-8148
US

IV. Provider business mailing address

4520 W 69TH ST
SIOUX FALLS SD
57108-8148
US

V. Phone/Fax

Practice location:
  • Phone: 605-977-5000
  • Fax: 605-977-5377
Mailing address:
  • Phone: 605-977-5000
  • Fax: 605-977-5377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number15625
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number77053
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: