NPI 1194461541

Profile Plan, LLC

Organisation Obesity Medicine (Preventive Medicine) Physician Sioux Falls, SD

Practice location

Address: 4800 W 57th St, Sioux Falls, SD 57108-2239
Phone: (605) 376-6659

Authorised official

Name: Corey M Condon
Title: Senior Product Officer
Phone: (605) 376-6659

Registered specialties

Obesity Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083B0002X

Other Preventive Medicine providers in South Dakota →

Registry record

NPI: 1194461541
Entity type: Organization
NPI issued: 9 May 2022
Record last updated: 9 May 2022

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.