MEDICARE: AUSTIN SPRONK M.D.

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	207Q00000X	Family Medicine Physician	0314	SD

General Provider Information

NPI Number	:	1801240502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN SPRONK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5074
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5074
Country	:	US
Telephone Number	:	507-283-2321
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 N KNISS AVE
Second Line	:
City	:	LUVERNE
State	:	MN
Zip	:	56156-1067
Country	:	US
Telephone Number	:	507-283-2321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2016
Last Update Date	:	03/24/2022

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Directions to “ AUSTIN SPRONK M.D.” Practice Location

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