Mark Gregory Desautel in Sioux Falls - Otolaryngology/facial Plastic Surgery
Mark Gregory Desautel - NPI 1255338174
Mark Gregory Desautel is a Otolaryngology/facial Plastic Surgery in Sioux Falls, South Dakota. Mark Gregory Desautel practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Mark Gregory Desautel is 1255338174. The last update date is 2014-06-11.
Mark Gregory Desautel's current location address is 1310 W 22nd St, Sioux Falls, South Dakota. You can contact this provider via phone number 6053288200 and fax number 6053288201. The mailing address for Mark Gregory Desautel is 1310 W 22nd St, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Gregory Desautel |
|---|---|
| Address | 1310 W 22nd St, Sioux Falls, South Dakota |
| Phone Number | 6053288200 |
| Fax Number | 6053288201 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255338174 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2014-06-11 |
Provider Mailing Address Detail
| Address | 1310 W 22nd St |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 5710515010 |
| Phone Number | 6053288200 |
| Fax Number | 6053288201 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 4246 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4996176 | SD | BLUE SHIELD | |
| 8015163000 | MN | -- | |
| 6520242 | SD | -- | |
| 1986174 | IA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Gregory Desautel by the Centers for Medicare & Medicaid Services?
The Mark Gregory Desautel has been issued the NPI (National Provider Identifier) 1255338174. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Gregory Desautel is located?
The Mark Gregory Desautel is situated at the following address: 1310 W 22Nd St, Sioux Falls, SD, 5710515010.
What is Mark Gregory Desautel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Gregory Desautel's specialized field of practice is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207Yx0905X.
On what date did Mark Gregory Desautel receive its 1255338174 assignment from the Centers for Medicare & Medicaid Services?
The Mark Gregory Desautel was assigned its 1255338174 on 2005-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark Gregory Desautel most recently updated or refreshed?
The details pertaining to the Mark Gregory Desautel, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-06-11.