Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 5989 | SD |
N | 207RC0000X | Internist - Cardiovascular Disease | 5989 | SD |
NPI | 1831302009 |
---|---|
Provider Name | Orvar Jonsson |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Sioux Falls, SD 57105-0401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 09/03/2018 |