Basic Information
Provider Information
NPI: 1649244625
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRAND
FirstName: DAVID
MiddleName: ALLEN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 911 E 20TH ST
Address2: STE 700
City: SIOUX FALLS
State: SD
PostalCode: 571051049
CountryCode: US
TelephoneNumber: 6053340393
FaxNumber: 6053346028
Practice Location
Address1: 911 E 20TH ST
Address2: STE 700
City: SIOUX FALLS
State: SD
PostalCode: 571051049
CountryCode: US
TelephoneNumber: 6053340393
FaxNumber: 6053346028
Other Information
ProviderEnumerationDate: 02/15/2006
LastUpdateDate: 06/06/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X3962SDY Allopathic & Osteopathic PhysiciansSurgery 
208600000X41535MNN Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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