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1811959323
GARY L FAMESTAD
SIOUX FALLS, SD
NPI
1811959323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: SD 1934)
Enumeration Date
2006-04-03
Last Update Date
2012-04-03
Business Address
Mr. GARY L FAMESTAD MD
1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104-4647
Phone number: 605-328-1410
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Mailing Address
Mr. GARY L FAMESTAD MD
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585
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