Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 4617 | SD |
NPI | 1013965466 |
---|---|
Provider Name | Mary E Meierhenry |
First Address | Sioux Falls, SD 57117-5126 |
Second Address | Sioux Falls, SD 57104-4810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 21/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1524553 | (05) | IA |
153433500 | (05) | MN |
4994250 | BCBS (01) | SD |
6201222 | (05) | SD |
H06194 | (02) | |
P00435677 | RAILROAD MEDICARE (01) | SD |