JEROME MATTHEW GUANCIALE

WAHPETON, ND
NPI1851355366
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: ND  17750)
Additional Taxonomies208600000X Surgery
(Licence: MN  70737)
208600000X Surgery
(Licence: SC  0393)
208600000X Surgery
(Licence: NV  DO2175)
Enumeration Date2006-04-13
Last Update Date2022-04-29
Business Address
Dr. JEROME MATTHEW GUANCIALE DO
332 2ND AVE N
WAHPETON, ND 58075-4528
Phone number: 701-642-7000
Mailing Address
Dr. JEROME MATTHEW GUANCIALE DO
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585
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