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1871590547

NPI Code Detail

MEDICARE: DANIEL WARREN TODD MD

MEDICARE: DANIEL WARREN TODD MD

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	207Y00000X	Otolaryngology Physician	5104	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4996177	OTHER	SD	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871590547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL WARREN TODD MD

Provider Business Mailing Address
First Line	:	2315 W 57TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-5046
Country	:	US
Telephone Number	:	605-336-3503
Fax Number	:	605-336-6010

Provider Business Practice Location Address
First Line	:	2315 W 57TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-5046
Country	:	US
Telephone Number	:	605-336-3503
Fax Number	:	605-336-6010

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/14/2024

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Directions to “ DANIEL WARREN TODD MD” Practice Location

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