Elizabeth Dimitrievich MD

NPI 1003834995 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1003834995
Gender Female
Enumeration Date 07/18/2006
Last Updated 02/22/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
625 W 18TH ST
OBGYN SPECIALTY CLINIC
SIOUX FALLS SD, 57105, US
Phone (605) 338-0836
Fax (605) 338-7890
Business Location
625 W 18TH ST
OBGYN SPECIALTY CLINIC
SIOUX FALLS SD, 57105, US
Phone (605) 338-0836
Fax (605) 338-7890
Toxanomy
Taxonomy Code 207V00000X
License State South Dakota
License Number 3478
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According to our database, Elizabeth Dimitrievich MD NPI is 1003834995, taxonomy code is 207V00000X and license number is 3478, license state is located at South Dakota. Elizabeth Dimitrievich MD physically located at 625 W 18th St, Sioux Falls SD, 57105. NPI Number Elizabeth Dimitrievich MD has the Individual type.

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1003834995 NPI number is provided on an as is basis without warranty of any kind. 1003834995 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Dimitrievich MD are for informational purposes only.