MEDICARE: SETLIFF SINUS CLINIC

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
1	207RA0201X	Allergy & Immunology (Internal Medicine) Physician

General Provider Information

NPI Number	:	1073796314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SETLIFF SINUS CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 5126
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5126
Country	:	US
Telephone Number	:	605-335-1952
Fax Number	:	605-373-9971

Provider Business Practice Location Address
First Line	:	612 N SIOUX POINT RD
Second Line	:
City	:	DAKOTA DUNES
State	:	SD
Zip	:	57049-5088
Country	:	US
Telephone Number	:	605-232-6558
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND PROVIDER
Name	:	REUBEN C SETLIFF III
Credential	:	MD
Telephone Number	:	605-339-1872

Provider Enumeration Date	:	12/10/2007
Last Update Date	:	02/22/2013

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Directions to “SETLIFF SINUS CLINIC ” Practice Location

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