Elizabeth Dimitrievich
Obstetrician & Gynecologist Obstetrician
625 W 18th St Obgyn Specialty Clinic
Sioux Falls
, South Dakota 57105
Elizabeth Dimitrievich
Obstetrician & Gynecologist Obstetrician
625 W 18th St Obgyn Specialty Clinic
Sioux Falls
, South Dakota 57105
(605) 338-7890
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About
Features
Specialties
- Obstetrician & Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Elizabeth Dimitrievich
- 625 W 18th St Obgyn Specialty Clinic
- Sioux Falls, SD
- Zip : 57105
- Fax : (605) 338-7890
- Phone : (605) 338-0836
Second Address
- Elizabeth Dimitrievich
- 625 W 18th St Obgyn Specialty Clinic
- Sioux Falls, SD
- Zip : 57105
- Fax : (605) 338-7890
- Phone : (605) 338-0836
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 3478 | SD |
| N | 207VX0000X | Obstetrician | 2018041689 | MO |
National Provider Identifier
| NPI | 1003834995 |
|---|---|
| Provider Name | Elizabeth Dimitrievich |
| First Address | Sioux Falls, SD 57105 |
| Second Address | Sioux Falls, SD 57105 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 14/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6200662 | (05) | SD |
| F09103 | (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.