STEPHANIE M IDEKER

SIOUX FALLS, SD
NPI1609213339
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  0868)
Enumeration Date2013-06-04
Last Update Date2019-05-02
Business Address
STEPHANIE M IDEKER PA-C
201 W 69TH ST
SIOUX FALLS, SD 57108
Phone number: 605-336-0635
Mailing Address
STEPHANIE M IDEKER PA-C
201 W 69TH ST
SIOUX FALLS, SD 57108-2403
Phone number: 605-336-0635
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