SearchSouth Dakota163WM0705X

Ellen Pietsch

NPI 1184028383 · on the registry since 2014 · sole proprietor

Practice

Address
24276 Airport Rd
Eagle Butte, SD 57625
Phone
(605) 964-0705
Organisation at this address
Indian Health Service
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
163WM0705X
163WM0705X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota