Shannelle Susanne Rico, MD

NPI #1023078623 in Rosebud, South Dakota

Provider Information

NPI Number: 1023078623
Entity Type: Individual
Name: Shannelle Susanne Rico, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 27, 2006
Last Updated: Jul 16, 2015

Practice Location

Address: ROSEBUD IHS HOSPITAL
Address 2: SOLDIER CREEK ROAD
City: Rosebud
State: South Dakota
ZIP Code: 57570-0400
Phone: (605) 747-3245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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