Paula Jean Formosa MD

NPI 1073516308 - Plastic Surgery - 208200000X

NPI Details
NPI 1073516308
Gender Female
Enumeration Date 05/31/2005
Last Updated 08/05/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
575 N SIOUX POINT RD
DAKOTA DUNES SD, 57049-5312, US
Phone (605) 217-2667
Fax (605) 217-2900
Business Location
575 N SIOUX POINT RD
DAKOTA DUNES SD, 57049-5312, US
Phone (605) 217-2667
Fax (605) 217-2900
Toxanomy
Taxonomy Code 208200000X
License State South Dakota
License Number 5141
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According to our database, Paula Jean Formosa MD NPI is 1073516308, taxonomy code is 208200000X and license number is 5141, license state is located at South Dakota. Paula Jean Formosa MD physically located at 575 N Sioux Point Rd, Dakota Dunes SD, 57049-5312. NPI Number Paula Jean Formosa MD has the Individual type.

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1073516308 NPI number is provided on an as is basis without warranty of any kind. 1073516308 is maintained by the National Plan & Provider Enumeration System. The contents of Paula Jean Formosa MD are for informational purposes only.