Healthcare Provider Details

I. General information

NPI: 1659358182
Provider Name (Legal Business Name): MARC J SCHECHTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7307 S GRAND ARBOR CT
SIOUX FALLS SD
57108-3151
US

IV. Provider business mailing address

PO BOX 5126
SIOUX FALLS SD
57117-5126
US

V. Phone/Fax

Practice location:
  • Phone: 605-941-1866
  • Fax:
Mailing address:
  • Phone: 605-977-2727
  • Fax: 605-339-9244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number2819
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: