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Search › South Dakota › 363A00000X

Davis Bloemendaal, PA-C

NPI 1558037432 · on the registry since 2021

Practice

Address
575 N Sioux Point Rd
Dakota Dunes, SD 57049
Phone
(605) 217-2667
Organisation at this address
Cnos Pc
Avera Mckennan
Integrated Physical Medicine & Rehabilitation Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
135

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-29

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