NPI 1023078623

Shannelle Susanne Rico, MD

Practitioner Family Medicine Physician Rosebud, SD

Practice location

Address: Rosebud Ihs Hospital Soldier Creek Road, Rosebud, SD 57570-0400
Phone: (605) 747-3245
Fax: (605) 747-2216
Mailing address: Hwy 77/75 P.O. Box Hh, Winnebago, NE 68071-0767

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01050363A (IN)

Other Family Medicine providers in South Dakota →

Registry record

NPI: 1023078623
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2006
Record last updated: 16 Jul 2015

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.