TIMOTHY FAGERNESS

SIOUX FALLS, SD
NPI1649993817
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: SD  CP002523)
Enumeration Date2022-09-22
Last Update Date2022-09-22
Business Address
TIMOTHY FAGERNESS CNP
911 E 20TH ST STE 300
SIOUX FALLS, SD 57105-1045
Phone number: 605-504-1100
Mailing Address
TIMOTHY FAGERNESS CNP
4000 E 52ND ST
SIOUX FALLS, SD 57103-5448
Phone number: 605-359-8547
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