Doctor Name: | CHERYL DEBOER ANDERSON |
NPI Number: | 1740545581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 59058 |
Business Practice Address: | 2801 S Kiwanis Ave Suite 200 Sioux Falls, SD - 571058121 |
Business Phone Number: | 6053340280 |
Business Fax Number: | |
Mailing Address: | 2801 S Kiwanis Ave, Suite 200 SIOUX FALLS |
State: | SD |
Postal Code: | 571058121 |
Phone Number: | 6053340280 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2012 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 59058 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |