DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WESLEY L SUFFICOOL DO

MEDICARE: WESLEY L SUFFICOOL DO
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
1208600000XSurgery Physician4023SD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00416084OTHERSDRR MEDICARE

General Provider Information

NPI Number : 1043309891
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY L SUFFICOOL DO
Provider Business Mailing Address
First Line : 211 FOUNDERS PARK DR STE 2
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-8099
Country : US
Telephone Number : 605-791-5553
Fax Number : 605-791-5644
Provider Business Practice Location Address
First Line : 211 FOUNDERS PARK DR STE 2
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-8099
Country : US
Telephone Number : 605-791-5553
Fax Number : 605-791-5644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/14/2023

Similar Medicare Providers

1861656936 — MRS. MELISSA ANNE JEZEK PT
Practice Location Address:
982 HILLTOP DR
CARSON CITY, NV
89705-8099
Practice Phone: 775-267-0205
Practice Fax:
1962029454 — SHARON SMITH PALMER SLP
Practice Location Address:
120 N 4125 W
CEDAR CITY, UT
84720-8099
Practice Phone: 435-559-1081
Practice Fax:
1073233219 — MATTHEW DICKSON PHARM D
Practice Location Address:
43 AUTUMN RD
PARK CITY, MT
59063-8099
Practice Phone: 406-370-6752
Practice Fax:
1558224956 — LYCIA C. THORNBURG, M.D., P.C.
Practice Location Address:
3535 5TH ST
RAPID CITY, SD
57701-6000
Practice Phone: 605-215-6078
Practice Fax:
1831032713 — CHEYANNE JAE EISENMANN MPS, DO
Practice Location Address:
502 E MONROE ST
RAPID CITY, SD
57701-1400
Practice Phone: 605-755-4060
Practice Fax: 605-755-4012
1679535132 — BLACK HILLS SURGICAL HOSPITAL, LLC
Practice Location Address:
216 ANAMARIA DR
RAPID CITY, SD
57701-7366
Practice Phone: 605-721-4700
Practice Fax:

Directions to “ WESLEY L SUFFICOOL DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.