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NPI Code Detail

MEDICARE: YANKTON ANESTHESIOLOGY, PC

MEDICARE: YANKTON ANESTHESIOLOGY, PC
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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1740248442
Entity Type Code : Organization
Provider Name (Legal Business Name) : YANKTON ANESTHESIOLOGY, PC
Provider Business Mailing Address
First Line : 1000 W 4TH ST STE 13
Second Line :
City : YANKTON
State : SD
Zip : 57078-3700
Country : US
Telephone Number : 605-668-8795
Fax Number : 605-668-8705
Provider Business Practice Location Address
First Line : 501 SUMMIT ST
Second Line :
City : YANKTON
State : SD
Zip : 57078-3855
Country : US
Telephone Number : 605-668-8795
Fax Number :
Authorized Official
Title or Position : ADMIN
Name : JOHN THIEMAN
Credential :
Telephone Number : 605-668-8795
Provider Enumeration Date : 05/02/2006
Last Update Date : 02/17/2023

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Directions to “YANKTON ANESTHESIOLOGY, PC ” Practice Location

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