Glenn A. Ridder
Family Doctor
6110 S Minnesota Ave
Sioux Falls
, South Dakota 57108-2549
Glenn A. Ridder
Family Doctor
6110 S Minnesota Ave
Sioux Falls
, South Dakota 57108-2549
(605) 328-9501
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Glenn A. Ridder
- Po Box 5074
- Sioux Falls, SD
- Zip : 57117-5074
- Fax : (605) 328-9501
- Phone : (605) 328-9556
Second Address
- Glenn A. Ridder
- 6110 S Minnesota Ave
- Sioux Falls, SD
- Zip : 57108-2549
- Fax : (605) 328-5814
- Phone : (605) 328-5800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 3483 | SD |
National Provider Identifier
| NPI | 1003816885 |
|---|---|
| Provider Name | Glenn A. Ridder |
| First Address | Sioux Falls, SD 57117-5074 |
| Second Address | Sioux Falls, SD 57108-2549 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2005 |
| Last Update Date | 08/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5609275 | (05) | SD |
| B48672 | (02) | SD |
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.