NPI 1285833459

Jacob Kusmak

Practitioner Dermatology Physician Sioux Falls, SD

Practice location

Address: 1310 W 22nd St, Sioux Falls, SD 57105-1501
Phone: (605) 328-8600
Mailing address: PO Box 5074, Sioux Falls, SD 57117-5074

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence PENDING (SD)

Other Dermatology providers in South Dakota →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 5144 (SD)

Other Pharmacist providers in South Dakota →

Registry record

NPI: 1285833459
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2007
Record last updated: 29 Apr 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.