Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 1765 | SD |
NPI | 1144292848 |
---|---|
Provider Name | Veronica Jane Gaetze |
First Address | Sioux Falls, SD 57118-6370 |
Second Address | Sioux Falls, SD 57105-1064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 09/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0008502 | BLUE CROSS (01) | SD |
047T8GA | CC SYSTEMS/ BLUE PLUS (01) | MN |
0702557 | MEDICA (01) | SD |
1511121 | (05) | IA |
160055444 | RR MEDICARE (01) | SD |
1765 | DAKOTACARE (01) | SD |
25927 | SANFORD HEALTH PLANS (01) | SD |
33581,33582,33583 | BLUE CROSS (01) | IA |
46022474316 | (05) | NE |
492S1GA/ 047T8GA | BLUE CROSS (01) | MN |
521590100 | (05) | MN |
57105M003 | WPS TRICARE (01) | SD |
6200443 | (05) | SD |
790189 | ARAZ/ AMERICA'S PPO (01) | SD |
9315 | MIDLANDS CHOICE (01) | SD |
AH9131019048 | PREFERRED ONE (01) | SD |
HP28269 | HEALTHPARTNERS (01) | SD |