Dr. Mark Gregory Desautel
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon Pediatric Otolaryngology Otolaryngology/Facial Plastic Surgery
1310 W 22nd St
Sioux Falls
, South Dakota 57105-1501
Dr. Mark Gregory Desautel
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon Pediatric Otolaryngology Otolaryngology/Facial Plastic Surgery
1310 W 22nd St
Sioux Falls
, South Dakota 57105-1501
(605) 328-6512
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
- Facial Plastic Surgeon
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Mark Gregory Desautel
- Po Box 5074
- Sioux Falls, SD
- Zip : 57117-5074
- Fax : (605) 328-6512
- Phone : (605) 328-6585
Second Address
- Dr. Mark Gregory Desautel
- 1310 W 22nd St
- Sioux Falls, SD
- Zip : 57105-1501
- Fax : (605) 328-8201
- Phone : (605) 328-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4246 | SD |
| N | 207YP0228X | Pediatric Otolaryngology | 4246 | SD |
| N | 207YS0123X | Facial Plastic Surgeon | 4246 | SD |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4246 | SD |
National Provider Identifier
| NPI | 1255338174 |
|---|---|
| Provider Name | Dr. Mark Gregory Desautel |
| First Address | Sioux Falls, SD 57117-5074 |
| Second Address | Sioux Falls, SD 57105-1501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2005 |
| Last Update Date | 11/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1986174 | (05) | IA |
| 4996176 | BLUE SHIELD (01) | SD |
| 6520242 | (05) | SD |
| 8015163000 | (05) | MN |
| F60877 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.