Healthcare Provider Details

I. General information

NPI: 1043899008
Provider Name (Legal Business Name): SEAN MICHAEL CLAUSEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 W 57TH ST
SIOUX FALLS SD
57108-5046
US

IV. Provider business mailing address

2315 W 57TH ST
SIOUX FALLS SD
57108-5046
US

V. Phone/Fax

Practice location:
  • Phone: 605-336-3503
  • Fax: 605-336-6010
Mailing address:
  • Phone: 605-336-3503
  • Fax: 605-336-6010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: