NPI 1053546762

Mid Dakota Podiatry

Organisation Foot & Ankle Surgery Podiatrist Gettysburg, SD

Practice location

Address: 608 E Garfield Ave, Gettysburg, SD 57442-1325
Phone: (605) 222-0661
Mailing address: PO Box 309, Pierre, SD 57501-0309

Authorised official

Name: Jesse D Olson
Title: Owner
Phone: (605) 222-0661

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 164 (SD)

Other Podiatrist providers in South Dakota →

Registry record

NPI: 1053546762
Entity type: Organization
NPI issued: 26 May 2009
Record last updated: 25 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.