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Search › South Dakota › 183500000X

Mariah Fickbohm

NPI 1992073134 · on the registry since 2011

Practice

Address
1325 S Cliff Ave Ste Cp
Sioux Falls, SD 57105
Phone
(605) 322-8326
Fax
(605) 322-8330
Organisation at this address
Avera Mckennan
Avera Mckennan
Avera Mckennan
Avera Mckennan
Avera Mckennan
Inferred from a shared address, not stated in the registry.
Clinicians at this address
334

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-31

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