SearchSouth Dakota122300000X

Samuel Derner

NPI 1417887381 · on the registry since 2026

Practice

Address
4501 E 41st St
Sioux Falls, SD 57110
Phone
(605) 339-1369
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
NE, SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-22

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