Whalio Doctors

NPI 1437507399

Samuel Max Zollicker, MD

Practitioner Family Medicine Physician Brandon, SD

Practice location

Address
1101 E Holly Blvd, Brandon, SD 57005-1426
Phone
(605) 582-3853
Fax
(605) 582-3855
Mailing address
1200 S 7th Ave, Sioux Falls, SD 57105-0998

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 11673 (SD)

Registry record

NPI
1437507399
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jun 2016
Record last updated
4 Sep 2019

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.